NPI 1174039945

Lillie Pearl Jackson, LPN

Practitioner Licensed Practical Nurse Riviera Beach, FL

Practice location

Address: 1611 W 35th St, Riviera Beach, FL 33404-2925
Phone: (561) 542-9923

Registered specialties

Licensed Practical Nurse Primary

Nursing Service Providers Taxonomy 164W00000X Licence PN5175495 (FL)

Other Licensed Practical Nurse providers in Florida →

Registry record

NPI: 1174039945
Entity type: Individual
Sex (as registered): Female
NPI issued: 15 Dec 2017
Record last updated: 15 Dec 2017

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.