JACKLENE JACKSON RN – NPI #1386183416
Registered Nurse
JACKLENE JACKSON is a registered nurse (RN) located in WARM SPRINGS, OR. NPPES has assigned the NPI number 1386183416 to JACKLENE JACKSON on February 22, 2017. It is a Type-1 NPI, indicating this NPI number is associated with an individual. She is also known by her former name JACKLENE LIGHT. The primary taxonomy selected by this provider is 163WC1500X from the Health Care Provider Taxonomy code set, which is classified as Registered Nurse, specializing in Community Health
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NPI Profile for
JACKLENE JACKSON
(more than 9 years ago)
WARM SPRINGS, OR 97761 Phone: (541) 553-1196 Fax:
WARM SPRINGS, OR 97761-3001 Phone: (541) 553-1196 Fax:
A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.
| Taxonomy Classification / Specialization | State | License |
|---|---|---|
| 163WC1500X - Registered Nurse / Community Health (Primary) |
OR | 201242738RN |
The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.