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Kelly D Jackson
Licensed Vocational Nurse in Conroe, Texas
NPI 1760961833

Kelly D Jackson is a Licensed Vocational Nurse based in Conroe, TX. Kelly D Jackson practices in Conroe, TX. The NPI Number for Kelly D Jackson is 1760961833 and holds a License No. 154385 (Texas).

The current practice location address for Kelly D Jackson is 602 W Semands St, Conroe, TX and can be reached out via phone at 936-756-5598.

Location: 602 W Semands St, Conroe, TX, 77301-1867
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1760961833
Provider Name
Kelly D Jackson
Credential
Provider Entity Type
Individual
Gender
Female
Address
602 W Semands St, Conroe, TX, 77301-1867
Phone Number
936-756-5598
Fax Number
Provider Enumeration Date
08/09/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
602 W Semands St
City
Conroe
State
Texas
Zip
77301-1867
Phone Number
936-756-5598
Fax Number
person
Provider Business Mailing Address Details
Address
602 W Semands St
City
Conroe
State
Texas
Zip
77301-1867
Phone Number
936-756-5598
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
317819 (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. Requirements for education, experience, licensure, and job responsibilities vary among the states.
person
Provider's Taxonomy Details 2
Type
Nursing Service Providers
Classification
Licensed Vocational Nurse
Speciality
-
Taxonomy
164X00000X
License No.
154385 (Ohio)
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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