Individual provider · Type 1 NPI

Desiree Jackson

Licensed Practical Nurse · Manchester, NH

NPI number 1679009534 Active

Practice location

3000 Goffs Falls Rd, Ste 101
Manchester, NH 03103-6109

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X53403 (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 1679009534

Desiree Jackson's National Provider Identifier is 1679009534, issued on May 11, 2017. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Manchester, NH. The record was last updated on May 11, 2017.