Desiree Jackson
Licensed Practical Nurse in Manchester, New Hampshire
1679009534- Practice location
- 3000 Goffs Falls RD, Ste 101, Manchester, NH 03103-6109
- Phone
- 800-995-2673
- Fax
- —
- Last updated
- May 11, 2017
Desiree Jackson is a Licensed Practical Nurse based in Manchester, NH. Desiree Jackson practices in Manchester, NH. The NPI Number for Desiree Jackson is 1679009534 and holds a License No. 53403 (TN). The current practice location address for Desiree Jackson is 3000 Goffs Falls RD, Ste 101, Manchester, NH 03103-6109 and can be reached out via phone at 800-995-2673.
Provider Profile Details
- NPI Number
- 1679009534
- Provider Name
- Desiree Jackson
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 3000 Goffs Falls RD, Ste 101, Manchester, NH 03103-6109
- Phone Number
- 800-995-2673
- Primary Taxonomy
- Licensed Practical Nurse · 164W00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- May 11, 2017
- Last Update Date
- May 11, 2017
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 3000 Goffs Falls RD
Ste 101
Manchester, NH 03103-6109 - City
- Manchester
- State
- New Hampshire
- Zip
- 03103-6109
- Phone Number
- 800-995-2673
Provider Business Mailing Address Details
- Address
- 3000 Goffs Falls RD
Ste 101
Manchester, NH 03103-6109 - City
- Manchester
- State
- NH
- Zip
- 03103-6109
- Phone Number
- 800-995-2673
License Information
- License Number
- 53403
- License State
- TN
- Taxonomy
- Licensed Practical Nurse · 164W00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Desiree Jackson?
The NPI number of Desiree Jackson is 1679009534. It was assigned on May 11, 2017 and is currently active in the NPPES registry.
What is the specialty of Desiree Jackson?
Desiree Jackson is registered under the primary taxonomy Licensed Practical Nurse (code 164W00000X), licensed in TN under license number 53403.
Where does Desiree Jackson practice?
The practice location is 3000 Goffs Falls RD, Ste 101, Manchester, NH 03103-6109. The office can be reached at 800-995-2673 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1679009534 directly on the NPPES registry website.