IndividualActive
Desiree Jackson
NPI 1679009534 · Licensed Practical Nurse · Manchester, NH
Provider details
- NPI number
- 1679009534
- Entity type
- Individual
- Primary specialty
- Licensed Practical NurseNursing Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 53403 (TN)
Specialties & taxonomies
Nursing Service Providers
Practice location
3000 Goffs Falls Rd
Ste 101
Manchester, NH 03103-6109
Phone: (800) 995-2673
Approximate (ZIP-level) locationGet directions
Mailing address
3000 Goffs Falls Rd
Manchester, NH 03103-6109
Registry dates
- Enumerated
- 2017-05-11
- Last updated
- 2017-05-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.