MRS. JACKLENE JACKSON RN
NPI 1386183416
Registered Nurse - Community Health in Warm Springs, OR
Active since February 22, 2017
About Mrs. Jacklene Jackson Rn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. JACKLENE JACKSON RN (NPI 1386183416) is an individual community health provider in Warm Springs, Oregon, licensed in Oregon (201242738RN) and active in the NPI registry since February 2017.
NPPES Registry Identity
NPI1386183416
Entity TypeIndividualFemale
Primary Taxonomy163WC1500X
Provider Legal NameMRS. JACKLENE JACKSONCredential: RN
Location Address1270 KOT-NUM RD.Warm Springs, OR 97761
Mailing AddressPo Box CWarm Springs, OR 97761-3001 · (541) 553-1196
Phone(541) 553-1196
Sole ProprietorNo
Enumeration DateFebruary 22, 2017
✔ NPI 1386183416 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyRegistered Nurse · Community HealthNursing Service Providers
Taxonomy Code163WC1500X
License✔ Licensed in OR · 201242738RN
1270 KOT-NUM RD., Warm Springs, OR 97761
Other Names 1
Former Name (1)Jacklene Light Rn
Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1386183416, enumerated as an "individual" on February 22, 2017.
The provider is located at 1270 KOT-NUM RD. WARM SPRINGS, OR 97761 and the phone number is (541) 553-1196.
Registered Nurse with taxonomy code 163WC1500X and a focus in Community Health.
