Andrea Jackson, LPN

NPI #1578927638 in Warren, Ohio

Provider Information

NPI Number
1578927638
Entity Type
Individual
Name
Andrea Jackson, LPN
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Licensed Practical Nurse
Credential
LPN
Enumeration Date
Apr 5, 2016
Last Updated
Apr 5, 2016

Practice Location

Address
1617 WOODBINE AVE SE
City
Warren
State
Ohio
ZIP Code
44484-4964
Phone
(313) 333-4130

Specialties & Taxonomy Codes

Specialty
Licensed Practical Nurse

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