Laquanta Jackson
Laquanta Jackson is a Registered Nurse in Olympia Fields, Illinois. Practices as a sole proprietor. Licensed in Illinois.
- Licensed in
- IL
- In the registry since
- 2019
Practice location Address checks out
2430 Athens RdOlympia Fields, IL 60461-1954
Phone: (708) 790-0366
Fax: (708) 844-0264
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Registered Nurse (primary) | Taxonomy 163W00000X · Licence 041317085 (IL) |
|---|
Record details
| NPI number | 1194372953 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | August 26, 2019 |
| Last updated in NPPES | August 26, 2019 |
| Mailing address | 2430 Athens Rd, Olympia Fields, IL 60461-1954 |
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