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Annitta Jackson, LPN
Licensed Practical Nurse in South Bend, Indiana
NPI 1750077210

Annitta Jackson is a Licensed Practical Nurse based in South Bend, IN. Annitta Jackson practices in South Bend, IN and has the professional credentials of LPN. The NPI Number for Annitta Jackson is 1750077210 and holds a License No. 27060852A (Indiana).

The current practice location address for Annitta Jackson is 621 Memorial Dr Ste 402, South Bend, IN and can be reached out via phone at 574-400-4550 and via fax at 574-400-4551. You can also correspond with Annitta Jackson through the mailing address at 621 MEMORIAL DR STE 402, SOUTH BEND, IN - 46601-1074 (mailing address contact number: 574-400-4550).

Location: 621 Memorial Dr Ste 402, South Bend, IN, 46601-1074
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1750077210
Provider Name
Annitta Jackson
Credential
LPN
Provider Entity Type
Individual
Gender
Female
Address
621 Memorial Dr Ste 402, South Bend, IN, 46601-1074
Phone Number
574-400-4550
Fax Number
574-400-4551
Provider Enumeration Date
04/17/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
621 Memorial Dr Ste 402
City
South Bend
State
Indiana
Zip
46601-1074
Phone Number
574-400-4550
Fax Number
574-400-4551
person
Provider Business Mailing Address Details
Address
621 Memorial Dr Ste 402
City
South Bend
State
Indiana
Zip
46601-1074
Phone Number
574-400-4550
Fax Number
574-400-4551
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
27060852A (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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