JESSICA JACKSON NPI 1215451679

NPI Information

NPI: 1215451679
Provider Name: JESSICA JACKSON
Classification: Licensed Practical Nurse - 164W00000X
Entity Type: Individual
Address:
120 N WILLIAMS INDUSTRIAL DR
PITTSFIELD, IL
ZIP 62363
Phone: (217) 285-4436
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Jessica Jackson is a licensed practical nurse in Pittsfield, IL. The provider is a licensed practical nurse 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. Jessica Jackson NPI is 1215451679. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

120 N WILLIAMS INDUSTRIAL DR
PITTSFIELD, IL
ZIP 62363-300
Phone: (217) 285-4436

The enumeration date for this NPI number is 7/27/2017 and was last updated on 7/27/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	164W00000X	Licensed Practical Nurse		043.118043	ILLINOIS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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