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Tequila Jackson
Licensed Practical Nurse in Saginaw, Michigan
NPI 1467197269

Tequila Jackson is a Licensed Practical Nurse based in Saginaw, MI. Tequila Jackson practices in Saginaw, MI. The NPI Number for Tequila Jackson is 1467197269 and holds a License No. 4703122547 (Michigan).

The current practice location address for Tequila Jackson is 2444 Hermansau St, Saginaw, MI and can be reached out via phone at 989-482-7967.

Location: 2444 Hermansau St, Saginaw, MI, 48602-5824
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1467197269
Provider Name
Tequila Jackson
Credential
Provider Entity Type
Individual
Gender
Female
Address
2444 Hermansau St, Saginaw, MI, 48602-5824
Phone Number
989-482-7967
Fax Number
Provider Enumeration Date
05/05/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2444 Hermansau St
City
Saginaw
State
Michigan
Zip
48602-5824
Phone Number
989-482-7967
Fax Number
person
Provider Business Mailing Address Details
Address
2444 Hermansau St
City
Saginaw
State
Michigan
Zip
48602-5824
Phone Number
989-482-7967
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
4703122547 (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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