Individual provider · Type 1 NPI

Wanda Marie Jackson

Licensed Practical Nurse · New Orleans, LA

NPI number 1982194635 Active

Practice location

3100 General De Gaulle Dr
New Orleans, LA 70114-6632

Mailing address

312 E 3rd St
Belle Chasse, LA 70037-2809

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X292534 (LA)

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 1982194635

Wanda Marie Jackson's National Provider Identifier is 1982194635, issued on May 17, 2018. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in New Orleans, LA. The record was last updated on May 17, 2018.