Individual provider · Type 1 NPI
Tamara A. Jackson, RN
Emergency Registered Nurse · Chicago, IL
NPI number
1972312221
Active
Practice location
1500 S Fairfield Ave
Chicago, IL 60608-1782
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 041350605 (IL) |
| Emergency Registered Nurse Primary | 163WE0003X | 041350605 (IL) |
Emergency Registered Nurse: Definition to come...
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About NPI 1972312221
Tamara A. Jackson, RN's National Provider Identifier is 1972312221, issued on Jan 2, 2025. The primary taxonomy on file is Emergency Registered Nurse (163WE0003X), and the practice location is in Chicago, IL. The record was last updated on Jan 2, 2025.