NPI 1952965840

Labrintary Jackson

Practitioner Nurse's Aide Indianola, MS

Practice location

Address: 119 Herman Johnson W, Indianola, MS 38751-3664
Phone: (662) 452-6006

Registered specialties (3)

Nurse's Aide Primary

Nursing Service Related Providers Taxonomy 376K00000X

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Driver

Other Service Providers Taxonomy 172A00000X

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Meals Provider

Other Service Providers Taxonomy 174200000X

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Registry record

NPI: 1952965840
Entity type: Individual
Sex (as registered): Female
NPI issued: 25 Apr 2019
Record last updated: 25 Apr 2019

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.