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Concraigretta Jackson
Licensed Practical Nurse in Warren, Michigan
NPI 1932741451

Concraigretta Jackson is a Licensed Practical Nurse based in Warren, MI. Concraigretta Jackson practices in Warren, MI. The NPI Number for Concraigretta Jackson is 1932741451 and holds a License No. 4703121283 (Michigan).

The current practice location address for Concraigretta Jackson is 21124 Behrendt Ave, Warren, MI and can be reached out via phone at 313-743-2278. You can also correspond with Concraigretta Jackson through the mailing address at 21124 BEHRENDT AVE, WARREN, MI - 48091-2774 (mailing address contact number: ).

Location: 21124 Behrendt Ave, Warren, MI, 48091-2774
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1932741451
Provider Name
Concraigretta Jackson
Credential
Provider Entity Type
Individual
Gender
Female
Address
21124 Behrendt Ave, Warren, MI, 48091-2774
Phone Number
313-743-2278
Fax Number
Provider Enumeration Date
10/16/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
21124 Behrendt Ave
City
Warren
State
Michigan
Zip
48091-2774
Phone Number
313-743-2278
Fax Number
person
Provider Business Mailing Address Details
Address
21124 Behrendt Ave
City
Warren
State
Michigan
Zip
48091-2774
Phone Number
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
4703121283 (Michigan)
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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