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Lisa Jackson, LPN
Licensed Practical Nurse in Rochester Hills, Michigan
NPI 1154655488

Lisa Jackson is a Licensed Practical Nurse based in Rochester Hills, MI. Lisa Jackson practices in Rochester Hills, MI and has the professional credentials of LPN. The NPI Number for Lisa Jackson is 1154655488 and holds a License No. 4703090363 (Michigan).

The current practice location address for Lisa Jackson is 2619 Product Dr, Rochester Hills, MI and can be reached out via phone at 248-844-9650.

Location: 2619 Product Dr, Rochester Hills, MI, 48309-3807
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1154655488
Provider Name
Lisa Jackson
Credential
LPN
Provider Entity Type
Individual
Gender
Female
Address
2619 Product Dr, Rochester Hills, MI, 48309-3807
Phone Number
248-844-9650
Fax Number
Provider Enumeration Date
09/18/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3062098 05 MI
institution
Provider Business Practice Location Address Details
Address
2619 Product Dr
City
Rochester Hills
State
Michigan
Zip
48309-3807
Phone Number
248-844-9650
Fax Number
person
Provider Business Mailing Address Details
Address
2619 Product Dr
City
Rochester Hills
State
Michigan
Zip
48309-3807
Phone Number
248-844-9650
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
4703090363 (Michigan)
Definition
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.
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