STEVEN DARRELL JACKSON - NPI 1730694050 - Licensed Practical Nurse in Birmingham, AL

Q: What is Steven Jackson's NPI number?

The NPI number for Steven Jackson is 1730694050. It was assigned to this individual provider in the NPPES registry on December 8, 2017.

Q: What is Steven 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 Steven Jackson was last updated on December 8, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Steven Darrell Jackson NPPES

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

STEVEN DARRELL JACKSON (NPI 1730694050) is an individual licensed practical nurse in Birmingham, Alabama, licensed in Alabama (2-037117) and active in the NPI registry since December 2017.

NPPES Registry Identity

NPI1730694050

Entity TypeIndividualMale

Primary Taxonomy164W00000X

Provider Legal NameSTEVEN DARRELL JACKSON

Location Address700 19TH ST SBirmingham, AL 35233-1927

Mailing Address1914 Webster StMuscle Shoals, AL 35661-2000

Phone(205) 933-8101

Sole ProprietorYes

Enumeration DateDecember 8, 2017

✔ NPI 1730694050 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 AL · 2-037117

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.

700 19TH ST S, Birmingham, AL 35233

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