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Wanda Marie Jackson
Licensed Practical Nurse in New Orleans, Louisiana
NPI 1982194635

Wanda Marie Jackson is a Licensed Practical Nurse based in Belle Chasse, LA. Wanda Marie Jackson practices in New Orleans, LA. The NPI Number for Wanda Marie Jackson is 1982194635 and holds a License No. 292534 (Louisiana).

The current practice location address for Wanda Marie Jackson is 3100 General De Gaulle Dr, New Orleans, LA and can be reached out via phone at 504-620-3130.

Location: 3100 General De Gaulle Dr, New Orleans, LA, 70037-2809
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1982194635
Provider Name
Wanda Marie Jackson
Credential
Provider Entity Type
Individual
Gender
Female
Address
3100 General De Gaulle Dr, New Orleans, LA, 70037-2809
Phone Number
504-620-3130
Fax Number
Provider Enumeration Date
05/17/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3100 General De Gaulle Dr
City
New Orleans
State
Louisiana
Zip
70114-6632
Phone Number
504-620-3130
Fax Number
person
Provider Business Mailing Address Details
Address
3100 General De Gaulle Dr
City
New Orleans
State
Louisiana
Zip
70114-6632
Phone Number
504-620-3130
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
292534 (Louisiana)
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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