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Kennedi D Jackson
Student in an Organized Health Care Education/Training Program in Joliet, Illinois
NPI 1598408387

Kennedi D Jackson is a Student in an Organized Health Care Education/Training Program based in Joliet, IL. Kennedi D Jackson practices in Joliet, IL. The NPI Number for Kennedi D Jackson is 1598408387 and holds a License No. (Illinois).

The current practice location address for Kennedi D Jackson is 3600 Brittany Dr, Joliet, IL and can be reached out via phone at 815-919-1348.

Location: 3600 Brittany Dr, Joliet, IL, 60435-8747
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1598408387
Provider Name
Kennedi D Jackson
Credential
Provider Entity Type
Individual
Gender
Female
Address
3600 Brittany Dr, Joliet, IL, 60435-8747
Phone Number
815-919-1348
Fax Number
Provider Enumeration Date
04/19/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3600 Brittany Dr
City
Joliet
State
Illinois
Zip
60435-8747
Phone Number
815-919-1348
Fax Number
person
Provider Business Mailing Address Details
Address
3600 Brittany Dr
City
Joliet
State
Illinois
Zip
60435-8747
Phone Number
815-919-1348
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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