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

Jackie Rivera, LPN

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1093260747

Jackie Rivera, LPN is a Student in an Organized Health Care Education/Training Program in Columbia, Missouri. Licensed in Missouri. Registered with an NPI since 2016.

Licensed in
MO
In the registry since
2016
What do these letters mean?
LPN — Licensed Practical Nurse
A licensed nurse who works under the direction of an RN or physician.

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Practice location Address checks out

807 N Providence Rd
Columbia, MO 65203-4359
Phone: (573) 443-8706
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X · Licence 2010009084 (MO)

Record details

NPI number1093260747
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPN
Sole proprietorNo
NPI enumeratedAugust 23, 2016
Last updated in NPPESAugust 23, 2016
Mailing address807 N Providence Rd, Columbia, MO 65203-4359

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