ELOISE JACKSON
Licensed Practical Nurse
Active
Individual
NPI: 1750015327
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | Yes | 90697 (TN) |
Frequently Asked Questions
NPI 1750015327 is the National Provider Identifier for ELOISE JACKSON, a Licensed Practical Nurse provider located in Johnson City, TN. This NPI was enumerated on July 11, 2022.
ELOISE JACKSON practices at 219 PRINCETON RD, Johnson City, TN 37601.
Quick Facts
- NPI
- 1750015327
- Type
- Individual
- Enumerated
- Jul 11, 2022
- Last Updated
- Jul 11, 2022
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