ELLA JACKSON
Licensed Vocational Nurse
Active
Individual
NPI: 1407357999
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | No | 069742 (TX) |
| Licensed Vocational Nurse | 164X00000X | Yes | 69742 (TX) |
Frequently Asked Questions
NPI 1407357999 is the National Provider Identifier for ELLA JACKSON, a Licensed Vocational Nurse provider located in Stafford, TX. This NPI was enumerated on February 21, 2018.
ELLA JACKSON practices at 12371 S KIRKWOOD RD, Stafford, TX 77477.
Quick Facts
- NPI
- 1407357999
- Type
- Individual
- Enumerated
- Feb 21, 2018
- Last Updated
- Feb 21, 2018
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