KIMMISHA JACKSON ROYAL - NPI 1679341762 - Licensed Practical Nurse in Tacoma, WA

Q: What is the provider's specialty?

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

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About Kimmisha Jackson Royal NPPES

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

KIMMISHA JACKSON ROYAL (NPI 1679341762) is an individual licensed practical nurse in Tacoma, Washington, licensed in Washington (61492022) and active in the NPI registry since December 2023.

NPPES Registry Identity

NPI1679341762

Entity TypeIndividualFemale

Primary Taxonomy164W00000X

Provider Legal NameKIMMISHA JACKSON ROYAL

Location Address9600 VETERANS DR SWTacoma, WA 98493-6638

Mailing Address9712 18th Avenue Ct S Apt R14Tacoma, WA 98444-6638 · (253) 355-7097

Phone(253) 582-8440

Fax(253) 589-4143

Sole ProprietorNo

Enumeration DateDecember 18, 2023

NPPES CertifiedDecember 18, 2023

✔ NPI 1679341762 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 WA · 61492022

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.

9600 VETERANS DR SW, Tacoma, WA 98493

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