Tana Jackson-wilson - Phoenix, AZ

Tana Jackson-wilson

Licensed Practical Nurse in Phoenix, Arizona

NPI 1639504152

Tana Jackson-wilson is a Licensed Practical Nurse based in Phoenix, AZ. Tana Jackson-wilson practices in Phoenix, AZ. The NPI Number for Tana Jackson-wilson is 1639504152 and holds a License No. LP048815 (Arizona).

The current practice location address for Tana Jackson-wilson is 4612 N 28Th St, Phoenix, AZ and can be reached out via phone at 602-764-7122.

Location: 4612 N 28Th St, Phoenix, AZ, 85016-4931

NPI Number

1639504152

Provider Name

Tana Jackson-wilson

Credential

Provider Entity Type

Individual

Gender

Female

Address

4612 N 28Th St, Phoenix, AZ, 85016-4931

Phone Number

602-764-7122

Fax Number

Provider Enumeration Date

09/04/2013

Last Update Date

03/09/2024

Address

4612 N 28Th St

City

Phoenix

State

Arizona

Zip

85016-4931

Phone Number

602-764-7122

Fax Number

Address

4612 N 28Th St

City

Phoenix

State

Arizona

Zip

85016-4931

Phone Number

602-764-7122

Fax Number

Type

Nursing Service Providers

Classification

Licensed Practical Nurse

Speciality

Taxonomy

164W00000X

License No.

LP048815 (Arizona)

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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