Individual provider · Type 1 NPI

Latoiya Talisha Jackson, LPN

Licensed Practical Nurse · Willoughby, OH

NPI number 1659743789 Active

Practice location

38280 Tamarac Blvd APT# 102
Willoughby, OH 44094

Mailing address

38280 Tamarac Blvd Apt 102
Willoughby, OH 44094-8162

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X156713 (OH)

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 1659743789

Latoiya Talisha Jackson, LPN's National Provider Identifier is 1659743789, issued on Oct 28, 2015. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Willoughby, OH. The record was last updated on Oct 28, 2015.