TOSHA JACKSON, LPN

Licensed Practical Nurse

Active Individual
NPI: 1154654911

Practice Address

909 E STATE BLVD
Fort Wayne, IN 46805

Phone: (260) 481-2700

Specialties

Specialty Code Primary License
Licensed Practical Nurse 164W00000X Yes 27061323A (IN)

Frequently Asked Questions

NPI 1154654911 is the National Provider Identifier for TOSHA JACKSON, LPN, a Licensed Practical Nurse provider located in Fort Wayne, IN. This NPI was enumerated on September 11, 2009.
TOSHA JACKSON, LPN practices at 909 E STATE BLVD, Fort Wayne, IN 46805.

Quick Facts

NPI
1154654911
Type
Individual
Enumerated
Sep 11, 2009
Last Updated
Sep 11, 2009

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