Iman Aliya Jackson in Plymouth Meeting - Licensed Practical Nurse

Iman Aliya Jackson - NPI 1558569749

Iman Aliya Jackson is a Licensed Practical Nurse in Plymouth Meeting, Pennsylvania. Iman Aliya Jackson practices all healthcare services and medical treatments related to Licensed Practical Nurse. The NPI Number for Iman Aliya Jackson is 1558569749. The last update date is 2007-07-10.

Iman Aliya Jackson's current location address is 2250 Hickory Rd, Plymouth Meeting, Pennsylvania. You can contact this provider via phone number 8008794471. The mailing address for Iman Aliya Jackson is 2250 Hickory Rd, Plymouth Meeting, Pennsylvania. To know further, please read the information below!

Provider Profile Detail

Provider Name Iman Aliya Jackson
Address 2250 Hickory Rd, Plymouth Meeting, Pennsylvania
Phone Number 8008794471
Fax Number
Sole Proprietor N
Credentials L.P.N.

NPI Number Detail

NPI Number 1558569749
Provider Enumeration Date 2007-07-10
Last Updated Date 2007-07-10

Provider Mailing Address Detail

Address 2250 Hickory Rd
City Plymouth Meeting
State Pennsylvania (PA)
Post Code 194621047
Phone Number 8008794471
Fax Number

Provider's Primary Taxonomy Detail

Speciality Licensed Practical Nurse
Taxonomy 164W00000X
Licence No PN274139
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 Iman Aliya Jackson

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

The Iman Aliya Jackson has been assigned the NPI (National Provider Identifier) 1558569749 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you provide the complete physical address where Iman Aliya Jackson is located?

The Iman Aliya Jackson is situated at the following address: 2250 Hickory Rd, Plymouth Meeting, PA, 194621047.

What is Iman Aliya Jackson's specialized field of practice, and what is the corresponding taxonomy classification code?

The Iman Aliya Jackson's area of specialization is Licensed Practical Nurse, and the corresponding taxonomy code that categorizes this field of practice is 164W00000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1558569749 to Iman Aliya Jackson?

The Centers for Medicare & Medicaid Services originally issued the 1558569749 to Iman Aliya Jackson on 2007-07-10.

As of what date was the information pertaining to Iman Aliya Jackson, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Iman Aliya Jackson, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-10.

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