Sandra Denise Jackson, LVN
NPI #1255535860 in Copperas Cove, Texas
Provider Information
- NPI Number
- 1255535860
- Entity Type
- Individual
- Name
- Sandra Denise Jackson, LVN
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Licensed Vocational Nurse
- Credential
- LVN
- Enumeration Date
- Jun 14, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 708 BOND ST
- City
- Copperas Cove
- State
- Texas
- ZIP Code
- 76522-3079
- Phone
- (254) 458-1811
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Vocational Nurse |
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