Individual provider · Type 1 NPI

Anita June Jackson

Rehabilitation Registered Nurse · Louisville, KY

NPI number 1992125199 Active

Practice location

680 S 4th St
Louisville, KY 40202-2407

Mailing address

5806 Meadow Brook Ct
St. Joseph, MO 64503-2302

Specialties and licenses

TaxonomyCodeLicense
Rehabilitation Registered Nurse Primary 163WR0400X2014008537 (MO)

Rehabilitation Registered Nurse: Definition to come...

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About NPI 1992125199

Anita June Jackson's National Provider Identifier is 1992125199, issued on Apr 26, 2014. The primary taxonomy on file is Rehabilitation Registered Nurse (163WR0400X), and the practice location is in Louisville, KY. The record was last updated on Apr 26, 2014.