KIRSTIE BROOKE JACKSON - NPI 1265086953 - Licensed Practical Nurse in Greenville, SC

Q: What is Kirstie Jackson's NPI number?

The NPI number for Kirstie Jackson is 1265086953. It was assigned to this individual provider in the NPPES registry on July 31, 2019.

Q: What is Kirstie Jackson's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

Q: When was this NPI record last updated?

The NPPES record for Kirstie Jackson was last updated on July 31, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Kirstie Brooke Jackson NPPES

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

KIRSTIE BROOKE JACKSON (NPI 1265086953) is an individual licensed practical nurse in Greenville, South Carolina, licensed in South Carolina (48357) and active in the NPI registry since July 2019.

NPPES Registry Identity

NPI1265086953

Entity TypeIndividualFemale

Primary Taxonomy164W00000X

Provider Legal NameKIRSTIE BROOKE JACKSON

Location Address41 PARK CREEK DRGreenville, SC 29605-4270

Mailing Address258 Quail RdGray Court, SC 29645-4253 · (864) 640-3837

Phone(864) 299-1600

Sole ProprietorNo

Enumeration DateJuly 31, 2019

✔ NPI 1265086953 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 SC · 48357

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.

41 PARK CREEK DR, Greenville, SC 29605

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