Jackson, Annitta

Jackson, Annitta is an individual health care provider with primary practice located at 621 Memorial Dr Ste 402 , South Bend IN 46601-1074. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Jackson, Annitta can be contacted via phone (574) 400-4550.

Contact Information

Primary practice address
621 Memorial Dr Ste 402 South Bend IN 46601-1074
Phone: (574) 400-4550
Fax: (574) 400-4551
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 27060852A Indiana

Profile Details

NPI number 1750077210
LBN Legal business name Jackson, Annitta
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 17th, 2023
Last updated Apr 17th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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