Lillie Pearl Jackson, LPN
NPI #1174039945 in Riviera Beach, Florida
Provider Information
- NPI Number
- 1174039945
- Entity Type
- Individual
- Name
- Lillie Pearl Jackson, LPN
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Licensed Practical Nurse
- Credential
- LPN
- Enumeration Date
- Dec 15, 2017
- Last Updated
- Dec 15, 2017
Practice Location
- Address
- 1611 W 35TH ST
- City
- Riviera Beach
- State
- Florida
- ZIP Code
- 33404-2925
- Phone
- (561) 542-9923
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Practical Nurse |
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