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Canitra Jackson
Licensed Vocational Nurse in Austin, Texas
NPI 1689203812

Canitra Jackson is a Licensed Vocational Nurse based in Austin, TX. Canitra Jackson practices in Austin, TX. The NPI Number for Canitra Jackson is 1689203812 and holds a License No. 350212 (Texas).

The current practice location address for Canitra Jackson is 3508 Far West Blvd Ste 130, Austin, TX and can be reached out via phone at 512-828-3990.

Location: 3508 Far West Blvd Ste 130, Austin, TX, 78731-3081
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1689203812
Provider Name
Canitra Jackson
Credential
Provider Entity Type
Individual
Gender
Female
Address
3508 Far West Blvd Ste 130, Austin, TX, 78731-3081
Phone Number
512-828-3990
Fax Number
Provider Enumeration Date
04/08/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3508 Far West Blvd Ste 130
City
Austin
State
Texas
Zip
78731-3081
Phone Number
512-828-3990
Fax Number
person
Provider Business Mailing Address Details
Address
3508 Far West Blvd Ste 130
City
Austin
State
Texas
Zip
78731-3081
Phone Number
512-828-3990
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Vocational Nurse
Speciality
-
Taxonomy
164X00000X
License No.
350212 (Texas)
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. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job responsibilities vary among the states.
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