Individual provider · Type 1 NPI
Cecilia Jackson
Licensed Practical Nurse · Boulder, CO
NPI number
1922284173
Active
Practice location
580 Mohawk Dr
Boulder, CO 80303-3712
Mailing address
300 Stonehaven Street Cir
Dacono, CO 80514-5005
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Licensed Practical Nurse Primary | 164W00000X | 44627 (CO) |
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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- Armando Padua, LPNLicensed Practical Nurse Boulder, CO NPI 1295976058
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- Andrea Elizabeth PrikeLicensed Practical Nurse Boulder, CO NPI 1487805438
About NPI 1922284173
Cecilia Jackson's National Provider Identifier is 1922284173, issued on Jan 17, 2008. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Boulder, CO. The record was last updated on Jan 17, 2008.