Jackie C Ivy, LPN is a licensed practical nurse in Milwaukee, WI. The provider is a licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. Jackie C Ivy, LPN NPI is 1073874004. 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:
333 N 29TH ST
MILWAUKEE, WI
ZIP 53208-204
Phone: (414) 241-9391
The enumeration date for this NPI number is 6/6/2012 and was last updated on 6/6/2012.