Jackie T Nielsen, LVN
NPI #1184272064 in Universal City, Texas
Provider Information
- NPI Number
- 1184272064
- Entity Type
- Individual
- Name
- Jackie T Nielsen, LVN
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Licensed Vocational Nurse
- Credential
- LVN
- Enumeration Date
- Sep 3, 2019
- Last Updated
- Sep 3, 2019
Practice Location
- Address
- 105 LEMONWOOD AVE
- City
- Universal City
- State
- Texas
- ZIP Code
- 78148-4206
- Phone
- (210) 544-6259
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Vocational Nurse |
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