Karen G Jackson LPN

NPI 1104978501 - Licensed Practical Nurse - 164W00000X

NPI Details
NPI 1104978501
Gender Female
Enumeration Date 01/17/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
SOLDIER CREEK ROAD
ROSEBUD SD, 57570, US
Phone (605) 747-2231
Fax (605) 747-2216
Business Location
PO BOX 644
SOLDIER CREEK ROAD
ROSEBUD SD, 57570, US
Phone (605) 747-2231
Fax (605) 747-2216
Toxanomy
Taxonomy Code 164W00000X
License State Nebraska
License Number 14216
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According to our database, Ms. Karen G Jackson LPN NPI is 1104978501, taxonomy code is 164W00000X and license number is 14216, license state is located at Nebraska. Karen G Jackson LPN physically located at Soldier Creek Road, Rosebud SD, 57570. NPI Number Karen G Jackson LPN has the Individual type.

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1104978501 NPI number is provided on an as is basis without warranty of any kind. 1104978501 is maintained by the National Plan & Provider Enumeration System. The contents of Karen G Jackson LPN are for informational purposes only.