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Andrea Jackson, LPN
Licensed Practical Nurse in Warren, Ohio
NPI 1578927638

Andrea Jackson is a Licensed Practical Nurse based in Warren, OH. Andrea Jackson practices in Warren, OH and has the professional credentials of LPN. The NPI Number for Andrea Jackson is 1578927638 and holds a License No. 409719 (Ohio).

The current practice location address for Andrea Jackson is 1617 Woodbine Ave Se, Warren, OH and can be reached out via phone at 313-333-4130.

Location: 1617 Woodbine Ave Se, Warren, OH, 44484-4964
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1578927638
Provider Name
Andrea Jackson
Credential
LPN
Provider Entity Type
Individual
Gender
Female
Address
1617 Woodbine Ave Se, Warren, OH, 44484-4964
Phone Number
313-333-4130
Fax Number
Provider Enumeration Date
04/05/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1617 Woodbine Ave Se
City
Warren
State
Ohio
Zip
44484-4964
Phone Number
313-333-4130
Fax Number
person
Provider Business Mailing Address Details
Address
1617 Woodbine Ave Se
City
Warren
State
Ohio
Zip
44484-4964
Phone Number
313-333-4130
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
409719 (Ohio)
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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