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Lashawnna Chanel Jackson
Family Nurse Practitioner in Chicago, Illinois
NPI 1225790447

Lashawnna Chanel Jackson is a Family Nurse Practitioner based in Chicago, IL and is specialized in Family. Lashawnna Chanel Jackson practices in Chicago, IL. The NPI Number for Lashawnna Chanel Jackson is 1225790447 and holds a License No. (Illinois).

The current practice location address for Lashawnna Chanel Jackson is 6307 S Stewart Ave Ste 205, Chicago, IL and can be reached out via phone at 773-868-6824.

Location: 6307 S Stewart Ave Ste 205, Chicago, IL, 60622-2743
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1225790447
Provider Name
Lashawnna Chanel Jackson
Credential
Provider Entity Type
Individual
Gender
Female
Address
6307 S Stewart Ave Ste 205, Chicago, IL, 60622-2743
Phone Number
773-868-6824
Fax Number
Provider Enumeration Date
10/06/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
6307 S Stewart Ave Ste 205
City
Chicago
State
Illinois
Zip
60621-3116
Phone Number
773-868-6824
Fax Number
person
Provider Business Mailing Address Details
Address
6307 S Stewart Ave Ste 205
City
Chicago
State
Illinois
Zip
60621-3116
Phone Number
773-868-6824
Fax Number
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
209024143 (Illinois)
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
()
Definition
Definition to come...
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