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Search › Indiana › Licensed Practical Nurse

Charlene Jackson

NPI 1689994683 · on the registry since 2010

Practice

Address
2075 Ripley St
Lake Station, IN 46405
Phone
(219) 962-9437
Organisation at this address
Southlake Tricity Rba
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Registry record

Primary taxonomy
Licensed Practical Nurse
164W00000X
Licence states on file
IN
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2010-06-02

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 Indiana