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Search › Indiana › 164W00000X

Annitta Jackson, LPN

NPI 1750077210 · on the registry since 2023

Practice

Address
621 Memorial Dr Ste 402
South Bend, IN 46601
Phone
(574) 400-4550
Fax
(574) 400-4551
Organisation at this address
Healthlinc, Inc
David L. Clayton Md Inc
Otorhinolaryngology, Inc
Beacon Medical Group, Inc.
Beacon Medical Group, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
88

Registry record

Primary taxonomy
164W00000X
164W00000X
Licence states on file
IN
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2023-04-17

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