Tosha N Jackson, LPN Valid NPI
Individual provider · Licensed Practical Nurse · Fort Wayne, IN
- NPI
- 1154654911
- Type
- Individual (Type 1)
- Primary specialty
- Licensed Practical Nurse
- Specialty group
- Nursing Service Providers
- Taxonomy code
- 164W00000X
- License number
- 27061323A (IN)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2009-09-11
- Last updated
- 2009-09-11
Practice location
909 E State Blvd
Fort Wayne, IN 46805-3404
(260) 481-2700