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Charlene Jackson
Licensed Practical Nurse in Lake Station, Indiana
NPI 1689994683

Charlene Jackson is a Licensed Practical Nurse based in Gary, IN. Charlene Jackson practices in Lake Station, IN. The NPI Number for Charlene Jackson is 1689994683 and holds a License No. 27031267A (Indiana).

The current practice location address for Charlene Jackson is 2075 Ripley St, Lake Station, IN and can be reached out via phone at 219-962-9437.

Location: 2075 Ripley St, Lake Station, IN, 46404-1818
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1689994683
Provider Name
Charlene Jackson
Credential
Provider Entity Type
Individual
Gender
Female
Address
2075 Ripley St, Lake Station, IN, 46404-1818
Phone Number
219-962-9437
Fax Number
Provider Enumeration Date
06/02/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2075 Ripley St
City
Lake Station
State
Indiana
Zip
46405-1161
Phone Number
219-962-9437
Fax Number
person
Provider Business Mailing Address Details
Address
2075 Ripley St
City
Lake Station
State
Indiana
Zip
46405-1161
Phone Number
219-962-9437
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
27031267A (Indiana)
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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