MARY LUSTER LPN
NPI 1609096510
Licensed Practical Nurse in Jackson, TN

Q: What is the provider's specialty?

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

Active since April 26, 2007

804 N PARKWAY, JACKSON, TN 38305(731) 423-3020 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Mary Luster Lpn NPPES

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

MARY LUSTER LPN (NPI 1609096510) is an individual licensed practical nurse in Jackson, Tennessee, licensed in Tennessee (LPN0000039076) and active in the NPI registry since April 2007.

NPPES Registry Identity

NPI1609096510

Entity TypeIndividualFemale

Primary Taxonomy164W00000X

Provider Legal NameMARY LUSTERCredential: LPN

Location Address804 N PARKWAYJackson, TN 38305-3058

Mailing Address25 Roxbury DrJackson, TN 38305-1682 · (731) 512-3300

Phone(731) 423-3020

Sole ProprietorNo

Enumeration DateApril 26, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1609096510 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 TN · LPN0000039076

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.

804 N PARKWAY, Jackson, TN 38305

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