Diane Kay Jackman LPN

NPI 1619100203 - Licensed Practical Nurse - 164W00000X

NPI Details
NPI 1619100203
Gender Female
Enumeration Date 08/28/2009
Last Updated 08/28/2009
Entity Type Individual
Active Over 7 years ago
Practice Location
9336 TOWNSHIP HIGHWAY 121
UPPER SANDUSKY OH, 43351-9797, US
Phone (740) 360-0954
Fax
Business Location
9336 TOWNSHIP HIGHWAY 121
UPPER SANDUSKY OH, 43351-9797, US
Phone (740) 360-0954
Fax
Toxanomy
Taxonomy Code 164W00000X
License State Ohio
License Number PN088124
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According to our database, Diane Kay Jackman LPN NPI is 1619100203, taxonomy code is 164W00000X and license number is PN088124, license state is located at Ohio. Diane Kay Jackman LPN physically located at 9336 Township Highway 121, Upper Sandusky OH, 43351-9797. NPI Number Diane Kay Jackman LPN has the Individual type.

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1619100203 NPI number is provided on an as is basis without warranty of any kind. 1619100203 is maintained by the National Plan & Provider Enumeration System. The contents of Diane Kay Jackman LPN are for informational purposes only.