Individual provider · Type 1 NPI
Jill Marie Jackson, RN
Emergency Registered Nurse · Louisville, KY
NPI number
1972333870
Active
Practice location
1850 Bluegrass Ave
Louisville, KY 40215-1161
Mailing address
1958 Deer Park Ave Apt 1
Louisville, KY 40205-2265
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Emergency Registered Nurse Primary | 163WE0003X | 1152343 (KY) |
Emergency Registered Nurse: Definition to come...
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About NPI 1972333870
Jill Marie Jackson, RN's National Provider Identifier is 1972333870, issued on Aug 5, 2024. The primary taxonomy on file is Emergency Registered Nurse (163WE0003X), and the practice location is in Louisville, KY. The record was last updated on Aug 5, 2024.