LUAN KAY JACKSON RN NPI 1073911079

NPI Information

NPI: 1073911079
Provider Name: LUAN KAY JACKSON, RN
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
456 S MAIN ST
LAPEER, MI
ZIP 48446
Phone: (810) 664-4641
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Luan Kay Jackson, RN is a mental health counselor in Lapeer, MI. Luan Kay Jackson, RN NPI is 1073911079. 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:

456 S MAIN ST
LAPEER, MI
ZIP 48446-427
Phone: (810) 664-4641

The enumeration date for this NPI number is 12/8/2014 and was last updated on 12/8/2014.

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	101YM0800X	Counselor	Mental Health	4704087145	MICHIGAN	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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