LABRINTARY JACKSON

Nurse's Aide

Active Individual
NPI: 1952965840

Practice Address

119 HERMAN JOHNSON W
Indianola, MS 38751

Phone: (662) 452-6006

Specialties

Specialty Code Primary License
Driver 172A00000X No -
Meals 174200000X No -
Nurse's Aide 376K00000X Yes -

Frequently Asked Questions

NPI 1952965840 is the National Provider Identifier for LABRINTARY JACKSON, a Nurse's Aide provider located in Indianola, MS. This NPI was enumerated on April 25, 2019.
LABRINTARY JACKSON practices at 119 HERMAN JOHNSON W, Indianola, MS 38751.

Quick Facts

NPI
1952965840
Type
Individual
Enumerated
Apr 25, 2019
Last Updated
Apr 25, 2019

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