Individual provider · Type 1 NPI
Roger Jackson
Home Health Registered Nurse · La Follette, TN
NPI number
1720653629
Active
Practice location
171 Noah Ln
La Follette, TN 37766-5575
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Case Management Registered Nurse | 163WC0400X | 102279 (TN) |
| Community Health Registered Nurse | 163WC1500X | 102279 (TN) |
| Hospice Registered Nurse | 163WH1000X | 102279 (TN) |
| Medical-Surgical Registered Nurse | 163WM0705X | 102279 (TN) |
| Nutrition Support Registered Nurse | 163WN1003X | 102279 (TN) |
| Home Health Registered Nurse Primary | 163WH0200X | 102279 (TN) |
Home Health Registered Nurse: Definition to come...
Other home health registered nurse providers in La Follette
About NPI 1720653629
Roger Jackson's National Provider Identifier is 1720653629, issued on May 24, 2021. The primary taxonomy on file is Home Health Registered Nurse (163WH0200X), and the practice location is in La Follette, TN. The record was last updated on May 24, 2021.