NPI 1013111228

Karen Lynette Jackson, LPN

Practitioner Contractor Milwaukee, WI

Practice location

Address: 2915 N 44th St, Milwaukee, WI 53210-1710
Phone: (414) 449-5105

Registered specialties

Contractor Primary

Other Service Providers Taxonomy 171W00000X Licence 29404-031 (WI)

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Registry record

NPI: 1013111228
Entity type: Individual
Sex (as registered): Female
NPI issued: 12 Jun 2007
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.