MS. Karen Lynette Jackson, LPN

NPI #1013111228 in Milwaukee, Wisconsin

Provider Information

NPI Number: 1013111228
Entity Type: Individual
Name: MS. Karen Lynette Jackson, LPN
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Contractor
Credential: LPN
Enumeration Date: Jun 12, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 2915 N 44TH ST
City: Milwaukee
State: Wisconsin
ZIP Code: 53210-1710
Phone: (414) 449-5105

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Contractor	171W00000X	Primary

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