Joy Lynette Jackson in Detroit - Licensed Practical Nurse

Joy Lynette Jackson - NPI 1801932090

Joy Lynette Jackson is a Licensed Practical Nurse in Detroit, Michigan. Joy Lynette Jackson practices all healthcare services and medical treatments related to Licensed Practical Nurse. The NPI Number for Joy Lynette Jackson is 1801932090. The last update date is 2007-07-08.

Joy Lynette Jackson's current location address is 19193 Mansfield St, Detroit, Michigan. You can contact this provider via phone number 3132721052 and fax number 3132722289. The mailing address for Joy Lynette Jackson is 19193 Mansfield St, Detroit, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Name Joy Lynette Jackson
Address 19193 Mansfield St, Detroit, Michigan
Phone Number 3132721052
Fax Number 3132722289
Sole Proprietor N
Credentials LPN

NPI Number Detail

NPI Number 1801932090
Provider Enumeration Date 2007-01-29
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 19193 Mansfield St
City Detroit
State Michigan (MI)
Post Code 482352316
Phone Number 3132721052
Fax Number 3132722289

Provider's Primary Taxonomy Detail

Speciality Licensed Practical Nurse
Taxonomy 164W00000X
Licence No 4703077724
Definition:
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 r

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FAQs about Joy Lynette Jackson

What is the unique 10-digit identification code issued to Joy Lynette Jackson by the Centers for Medicare & Medicaid Services?

The Joy Lynette Jackson has been assigned the NPI (National Provider Identifier) 1801932090 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you share the physical location details of Joy Lynette Jackson?

The Joy Lynette Jackson is situated at 19193 Mansfield St, in the city of Detroit, state of MI, with the zip code 482352316.

What is Joy Lynette Jackson's area of expertise and its corresponding taxonomy classification?

The Joy Lynette Jackson's field of specialization is Licensed Practical Nurse, and it falls under the taxonomy code 164W00000X, which categorizes healthcare providers based on their areas of practice.

When did the Joy Lynette Jackson receive its 1801932090?

The Joy Lynette Jackson was issued its 1801932090 on 2007-01-29, which is the date when the organization was assigned this unique identifier.

As of what date were the details related to Joy Lynette Jackson most recently updated or revised?

The information pertaining to Joy Lynette Jackson, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.

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