Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Desiree Jackson

Individual provider Licensed Practical Nurse · NPI 1679009534

Desiree Jackson is a Licensed Practical Nurse in Manchester, New Hampshire. Practices as a sole proprietor. Licensed in Tennessee.

Licensed in
TN
In the registry since
2017

Practice location Address checks out

3000 Goffs Falls Rd Ste 101
Manchester, NH 03103-6109
Phone: (800) 995-2673
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Licensed Practical Nurse (primary) Taxonomy 164W00000X · Licence 53403 (TN)

Record details

NPI number1679009534
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMay 11, 2017
Last updated in NPPESMay 11, 2017

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