Individual provider · Type 1 NPI

Lashana Jackson

Licensed Practical Nurse · Coram, NY

NPI number 1841699170 Active

Practice location

29 Country Club Dr Apt B
Coram, NY 11727-3420

Call (631) 786-6874 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X295625 (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 1841699170

Lashana Jackson's National Provider Identifier is 1841699170, issued on Aug 22, 2014. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Coram, NY. The record was last updated on Aug 22, 2014.