Tiffany R Jackson, LVN Valid NPI

Individual provider · Licensed Vocational Nurse · Temple, TX

NPI

1477036796

Type

Individual (Type 1)

Primary specialty

Licensed Vocational Nurse

Specialty group

Nursing Service Providers

Taxonomy code

164X00000X

License number

213654 (TX)

Sex

Female

Sole proprietor

No

Enumerated

2018-09-12

Last updated

2018-09-12