Anita June Jackson Valid NPI

Individual provider · Rehabilitation Registered Nurse · Louisville, KY

NPI

1992125199

Type

Individual (Type 1)

Primary specialty

Rehabilitation Registered Nurse (Registered Nurse)

Specialty group

Nursing Service Providers

Taxonomy code

163WR0400X

License number

2014008537 (MO)

Sex

Female

Sole proprietor

Yes

Enumerated

2014-04-26

Last updated

2014-04-26