Jackie Smith Sides

Licensed Practical Nurse · Monroe, NC

Individual Active NPI

NPI number 1710613757

Practice location

1408 E Franklin St
Monroe, NC 28112-5160
Phone
(704) 625-2080

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NPI record

NPI
1710613757
Entity type
Individual (Type 1)
Enumeration date
July 30, 2022
Last updated
July 30, 2022
Certified
July 30, 2022
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Licensed Practical Nurse Primary 164W00000X 71366 NC

Mailing address

201 Wilkes Dr Apt C7
Monroe, NC 28110-2731
Phone
(704) 465-5348

About Jackie Sides

Jackie Smith Sides is a healthcare provider registered in the NPI registry with the primary taxonomy Licensed Practical Nurse (code 164W00000X). The practice location is 1408 E Franklin St, Monroe, NC 28112-5160. The NPI number 1710613757 was assigned on July 30, 2022 and the record was last updated on July 30, 2022.

Jackie Sides lists a license in the registry: #71366 (NC) 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 Jackie Smith Sides?

The NPI number is 1710613757.

What is the phone number of Jackie Sides?

The phone number listed for the practice location is (704) 625-2080.

Where is Jackie Sides located?

1408 E Franklin St, Monroe, NC 28112-5160.

What is the taxonomy code for Jackie Sides?

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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