ETHEL PAULINE JACKSON
NPI 1912486515
Licensed Vocational Nurse in Jefferson, TX
- Individual
- Female
- Licensed Vocational Nurse
About ETHEL JACKSON
This page provides the complete NPI Profile along with additional information for Ethel Jackson, a provider established in Jefferson, Texas with a medical specialization in Licensed Vocational Nurse. The healthcare provider is registered in the NPI registry with number 1912486515 assigned on August 2018. The practitioner's primary taxonomy code is 164X00000X with license number 187808 (TX). The provider is registered as an individual and her NPI record was last updated 8 years ago.
- NPI
- 1912486515 Verify this NPI
- Provider Name
- ETHEL PAULINE JACKSON
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 120 N WALNUT ST JEFFERSON, TX 75657
- Location Phone
- (903) 665-6131
- Mailing Address
- PO BOX 901 JEFFERSON, TX 75657
- Is Sole Proprietor?
- No
- Enumeration Date
- 08-14-2018
- Last Update Date
- 08-14-2018
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Licensed Vocational Nurse
- Taxonomy Code
- 164X00000X
- Type
- Nursing Service Providers
- License No.
- 187808
- License State
- TX
- Taxonomy Description
- A licensed vocational 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. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job responsibilities vary among the states.
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The following 20 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1912486515, enumerated as an "individual" on August 14, 2018.
The provider is located at 120 N WALNUT ST JEFFERSON, TX 75657 and the phone number is (903) 665-6131.
Licensed Vocational Nurse with taxonomy code 164X00000X.
