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Jaclyn Jackson
Licensed Practical Nurse in Monroe, Michigan
NPI 1306228978

Jaclyn Jackson is a Licensed Practical Nurse based in Monroe, MI. Jaclyn Jackson practices in Monroe, MI. The NPI Number for Jaclyn Jackson is 1306228978 and holds a License No. 4703115148 (Michigan).

The current practice location address for Jaclyn Jackson is 5259 Evergreen Dr, Monroe, MI and can be reached out via phone at 734-770-7318.

Location: 5259 Evergreen Dr, Monroe, MI, 48161-3690
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1306228978
Provider Name
Jaclyn Jackson
Credential
Provider Entity Type
Individual
Gender
Female
Address
5259 Evergreen Dr, Monroe, MI, 48161-3690
Phone Number
734-770-7318
Fax Number
Provider Enumeration Date
06/19/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
5259 Evergreen Dr
City
Monroe
State
Michigan
Zip
48161-3690
Phone Number
734-770-7318
Fax Number
person
Provider Business Mailing Address Details
Address
5259 Evergreen Dr
City
Monroe
State
Michigan
Zip
48161-3690
Phone Number
734-770-7318
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
4703115148 (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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