Individual provider · Type 1 NPI

Shelly Jackson

Licensed Practical Nurse · Lancaster, OH

NPI number 1750823829 Active

Practice location

1592 Granville Pike
Lancaster, OH 43130-1076

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000XLPN- 145024 (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 1750823829

Shelly Jackson's National Provider Identifier is 1750823829, issued on Nov 7, 2016. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Lancaster, OH. The record was last updated on Feb 1, 2017.