JESSICA JACKSON - NPI 1215451679 - Licensed Practical Nurse in Pittsfield, IL

Q: What is the provider's specialty?

The provider's specialty is Licensed Practical Nurse with taxonomy code 164W00000X.

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About Jessica Jackson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JESSICA JACKSON (NPI 1215451679) is an individual licensed practical nurse in Pittsfield, Illinois, licensed in Illinois (043.118043) and active in the NPI registry since July 2017.

NPPES Registry Identity

NPI1215451679

Entity TypeIndividualFemale

Primary Taxonomy164W00000X

Provider Legal NameJESSICA JACKSON

Location Address120 N WILLIAMS INDUSTRIAL DRPittsfield, IL 62363-1300

Mailing Address700 Se Cross StMt Sterling, IL 62353-1561

Phone(217) 285-4436

Sole ProprietorNo

Enumeration DateJuly 27, 2017

✔ NPI 1215451679 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers

Taxonomy Code164W00000X

License✔ Licensed in IL · 043.118043

Definition

A licensed practical nurse 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.

120 N WILLIAMS INDUSTRIAL DR, Pittsfield, IL 62363

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