MS. ANITA JUNE JACKSON NPI 1992125199

NPI Information

NPI: 1992125199
Provider Name: MS. ANITA JUNE JACKSON
Classification: Registered Nurse - 163WR0400X
Entity Type: Individual

Specialization: Rehabilitation

Address:
680 S 4TH ST
LOUISVILLE, KY
ZIP 40202
Phone: (800) 996-7566
Get Directions

MS. Anita June Jackson is a rehabilitation registered nurse in Louisville, KY. MS. Anita June Jackson NPI is 1992125199. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

680 S 4TH ST
LOUISVILLE, KY
ZIP 40202-407
Phone: (800) 996-7566

The enumeration date for this NPI number is 4/26/2014 and was last updated on 4/26/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163WR0400X	Registered Nurse	Rehabilitation	2014008537	MISSOURI	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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