Jessica Jackson

Licensed Practical Nurse · Pittsfield, IL

Individual Active NPI

NPI number 1215451679

Practice location

120 N Williams Industrial Dr
Pittsfield, IL 62363-1300
Phone
(217) 285-4436

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NPI record

NPI
1215451679
Entity type
Individual (Type 1)
Enumeration date
July 27, 2017
Last updated
July 27, 2017
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Licensed Practical Nurse Primary 164W00000X 043.118043 IL

Mailing address

700 SE Cross St
Mt Sterling, IL 62353-1561

About Jessica Jackson

Jessica Jackson is a healthcare provider registered in the NPI registry with the primary taxonomy Licensed Practical Nurse (code 164W00000X). The practice location is 120 N Williams Industrial Dr, Pittsfield, IL 62363-1300. The NPI number 1215451679 was assigned on July 27, 2017 and the record was last updated on July 27, 2017.

Jessica Jackson lists a license in the registry: #043.118043 (IL) for Licensed Practical Nurse. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Jessica Jackson?

The NPI number is 1215451679.

What is the phone number of Jessica Jackson?

The phone number listed for the practice location is (217) 285-4436.

Where is Jessica Jackson located?

120 N Williams Industrial Dr, Pittsfield, IL 62363-1300.

What is the taxonomy code for Jessica Jackson?

The primary taxonomy code is 164W00000X – Licensed Practical Nurse.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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