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Robert Jackson, LPN
NPI 1447548573 · on the registry since 2011 · sole proprietor
Practice
- Address
- 5454 East State St
Hermitage, PA 16148 - Phone
- (724) 346-2123
- Fax
- (724) 346-0366
- Organisation at this address
- Diversified Family Services, Inc.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 9
Registry record
- Primary taxonomy
- Licensed Practical Nurse
164W00000X
- Licence states on file
- PA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2011-07-11
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Pennsylvania