CYNTHIA DIANE JACKSON LPN NPI 1588922934

NPI Information

Cynthia Diane Jackson, LPN is a licensed practical nurse in Waukesha, 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. Cynthia Diane Jackson, LPN NPI is 1588922934. 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 CAMDEN WAY
UNIT B
WAUKESHA, WI
ZIP 53186-850
Phone: (262) 408-2606

The enumeration date for this NPI number is 4/23/2012 and was last updated on 4/23/2012.

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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