Jacqueline Diane Jackson in Elyria - Licensed Practical Nurse
Jacqueline Diane Jackson - NPI 1811952765
Jacqueline Diane Jackson is a Licensed Practical Nurse in Elyria, Ohio. Jacqueline Diane Jackson practices all healthcare services and medical treatments related to Licensed Practical Nurse. The NPI Number for Jacqueline Diane Jackson is 1811952765. The last update date is 2008-04-09.
Jacqueline Diane Jackson's current location address is 417 Kenyon Ave, Elyria, Ohio. You can contact this provider via phone number 4403227644. The mailing address for Jacqueline Diane Jackson is 417 Kenyon Ave, Elyria, Ohio. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jacqueline Diane Jackson |
|---|---|
| Address | 417 Kenyon Ave, Elyria, Ohio |
| Phone Number | 4403227644 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | LPN |
NPI Number Detail
| NPI Number | 1811952765 |
|---|---|
| Provider Enumeration Date | 2006-04-20 |
| Last Updated Date | 2008-04-09 |
Provider Mailing Address Detail
| Address | 417 Kenyon Ave |
|---|---|
| City | Elyria |
| State | Ohio (OH) |
| Post Code | 440356413 |
| Phone Number | 4403227644 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Licensed Practical Nurse |
|---|---|
| Taxonomy | 164W00000X |
| Licence No | PN084359 |
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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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What is the unique 10-digit identifier code issued to Jacqueline Diane Jackson by the Centers for Medicare & Medicaid Services?
The Jacqueline Diane Jackson has been assigned the NPI (National Provider Identifier) 1811952765 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Jacqueline Diane Jackson is located?
The Jacqueline Diane Jackson is situated at the following address: 417 Kenyon Ave, Elyria, OH, 440356413.
What is Jacqueline Diane Jackson's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Jacqueline Diane Jackson is Licensed Practical Nurse, and the taxonomy code that categorizes this field of expertise is 164W00000X.
On what date was the 1811952765 assigned to Jacqueline Diane Jackson?
The Jacqueline Diane Jackson was issued its 1811952765 on 2006-04-20, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Jacqueline Diane Jackson most recently updated or refreshed?
The details pertaining to the Jacqueline Diane Jackson, including its address, specialty, and other relevant information, were last updated or refreshed on 2008-04-09.
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