Individual provider · Type 1 NPI

Charttise Jackson

Licensed Practical Nurse · Bronx, NY

NPI number 1750709176 Active

Practice location

2849 Ely Ave, Unit 1
Bronx, NY 10469-6250

Call (347) 863-2187 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X314261 (NY)

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 1750709176

Charttise Jackson's National Provider Identifier is 1750709176, issued on Apr 2, 2014. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Bronx, NY. The record was last updated on Apr 2, 2014.