Suzanne Lynn Jackson , LPN
Licensed Practical Nurse • Saint Joseph, MI
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Suzanne Jackson has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Suzanne Jackson, LPN was a registered Licensed Practical Nurse practicing in Saint Joseph, MI. Throughout an active medical career spanning 2 years, Suzanne Jackson provided care at the practice location at 508 MADISON AVE until profile deactivation on 2021-09-23.
Practice Location & Contact Primary Location
508 Madison Ave
Saint Joseph, MI 490851651
Specialty Benchmarks & Practice Insights
Comparative analytics for Licensed Practical Nurse in Saint Joseph, MI
Practicing in Saint Joseph, MI (4550 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 164W00000X
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on September 23, 2021
NPI status registered as active in NPPES database
Registered at 508 MADISON AVE, SAINT JOSEPH, MI 490851651 (Tel: 3014617125)
Registered at 508 MADISON AVE, SAINT JOSEPH, MI 490851651 (Tel: 3014617125)
Recorded as SUZANNE JACKSON, LPN
Licensed Practical Nurse (License #4703033773 in MI)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
508 Madison Ave
Saint Joseph, MI 490851651
Phone: 3014617125
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