Individual provider · Type 1 NPI

Mary Luster, LPN

Licensed Practical Nurse · Jackson, TN

NPI number 1609096510 Active

Practice location

804 N Parkway
Jackson, TN 38305-3058

Call (731) 423-3020 Map

Mailing address

25 Roxbury Dr
Jackson, TN 38305-1682

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000XLPN0000039076 (TN)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1609096510

Mary Luster, LPN's National Provider Identifier is 1609096510, issued on Apr 26, 2007. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Jackson, TN. The record was last updated on Jul 8, 2007.