Individual provider · Type 1 NPI

Annitta Jackson, LPN

Licensed Practical Nurse · South Bend, IN

NPI number 1750077210 Active

Practice location

621 Memorial Dr Ste 402
South Bend, IN 46601-1074

Call (574) 400-4550 Map

Fax (574) 400-4551

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X27060852A (IN)

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.

14 other providers at this address

Other licensed practical nurse providers in South Bend

See all in South Bend →

About NPI 1750077210

Annitta Jackson, LPN's National Provider Identifier is 1750077210, issued on Apr 17, 2023. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in South Bend, IN. The record was last updated on Apr 17, 2023.