ANDREA JACKSON LPN NPI 1578927638

NPI Information

Andrea Jackson, LPN is a licensed practical nurse in Warren, OH. The provider is an individual 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. Andrea Jackson, LPN NPI is 1578927638. 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:

1617 WOODBINE AVE SE
WARREN, OH
ZIP 44484-964
Phone: (313) 333-4130

The enumeration date for this NPI number is 4/5/2016 and was last updated on 4/5/2016.

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:

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