Individual provider · Type 1 NPI
Latoiya Talisha Jackson, LPN
Licensed Practical Nurse · Willoughby, OH
Practice location
38280 Tamarac Blvd APT# 102
Willoughby, OH 44094
Mailing address
38280 Tamarac Blvd Apt 102
Willoughby, OH 44094-8162
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Licensed Practical Nurse Primary | 164W00000X | 156713 (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.