LORI LEE JACKSON RN CDCES NPI 1073184099

NPI Information

NPI: 1073184099
Provider Name: LORI LEE JACKSON, RN, CDCES
Classification: Registered Nurse - 163WD0400X
Entity Type: Individual

Specialization: Diabetes Educator

Address:
1315 E 24TH ST STE 1
MINNEAPOLIS, MN
ZIP 55404
Phone: (612) 721-9872
Get Directions

Lori Lee Jackson, RN, CDCES is a diabetes educator registered nurse in Minneapolis, MN. Lori Lee Jackson, RN, CDCES NPI is 1073184099. 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:

1315 E 24TH ST STE 1
MINNEAPOLIS, MN
ZIP 55404-959
Phone: (612) 721-9872
Fax: (612) 721-2904

The enumeration date for this NPI number is 7/9/2021 and was last updated on 7/9/2021.

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	163WD0400X	Registered Nurse	Diabetes Educator	2459891	MINNESOTA	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: 11/14/2023

NPI Synchronization or Removal

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