Individual provider · Type 1 NPI

Diana Jackson, L.P.N.

Licensed Practical Nurse · West Bloomfield, MI

NPI number 1962631424 Active

Practice location

6628 Crescent Grn
West Bloomfield, MI 48322-1325

Call (248) 592-9803 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X4703092206 (MI)

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 1962631424

Diana Jackson, L.P.N.'s National Provider Identifier is 1962631424, issued on Jul 6, 2009. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in West Bloomfield, MI. The record was last updated on Jul 6, 2009.