ANNITTA JACKSON, LPN

Licensed Practical Nurse

Active Individual
NPI: 1750077210

Practice Address

621 MEMORIAL DR STE 402
South Bend, IN 46601

Phone: (574) 400-4550

Specialties

Specialty Code Primary License
Licensed Practical Nurse 164W00000X Yes 27060852A (IN)

Frequently Asked Questions

NPI 1750077210 is the National Provider Identifier for ANNITTA JACKSON, LPN, a Licensed Practical Nurse provider located in South Bend, IN. This NPI was enumerated on April 17, 2023.
ANNITTA JACKSON, LPN practices at 621 MEMORIAL DR STE 402, South Bend, IN 46601.

Quick Facts

NPI
1750077210
Type
Individual
Enumerated
Apr 17, 2023
Last Updated
Apr 17, 2023

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