JACLYN JACKSON
Licensed Practical Nurse
Active
Individual
NPI: 1306228978
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | Yes | 4703115148 (MI) |
Frequently Asked Questions
NPI 1306228978 is the National Provider Identifier for JACLYN JACKSON, a Licensed Practical Nurse provider located in Monroe, MI. This NPI was enumerated on June 19, 2015.
JACLYN JACKSON practices at 5259 EVERGREEN DR, Monroe, MI 48161.
Quick Facts
- NPI
- 1306228978
- Type
- Individual
- Enumerated
- Jun 19, 2015
- Last Updated
- Jun 19, 2015
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