Raynelle Angela Jackson
Raynelle Angela Jackson is a Licensed Vocational Nurse in Fort Worth, Texas. Practices as a sole proprietor. Licensed in Texas.
- Licensed in
- TX
- In the registry since
- 2020
Practice location Address checks out
1314 Lake StFort Worth, TX 76102-4581
Phone: (817) 810-0660
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Licensed Vocational Nurse (primary) | Taxonomy 164X00000X · Licence 346284 (TX) |
|---|
Record details
| NPI number | 1144844127 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | June 4, 2020 |
| Last updated in NPPES | June 4, 2020 |
| Certification date | June 4, 2020 |
| Mailing address | 1314 Lake St, Fort Worth, TX 76102-4581 |
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