Jacksonscott2
NPI #1154869410 in Milwaukee, Wisconsin
Provider Information
- NPI Number
- 1154869410
- Entity Type
- Organization
- Organization Name
- Jacksonscott2
- Primary Specialty
- Skilled Nursing Facility - Nursing Care, Pediatric
- Enumeration Date
- Feb 7, 2017
- Last Updated
- Feb 7, 2017
Practice Location
Authorized Official
- Name
- LATASHA JACKSON, LPN
- Title
- LPN
- Phone
- (414) 517-2825
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility - Nursing Care, Pediatric — Nursing Care, Pediatric |
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