Jessica Bostardi
Licensed Practical Nurse in Warren, OH. Individual provider (NPI-1).
NPI number1053774539
StatusActive
Last updated in NPPESApr 1, 2016
Details
- NPI
- 1053774539
- Entity type
- Individual (NPI-1)
- Name
- Jessica Bostardi
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 1, 2016
- Last updated
- Apr 1, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | PN123146-M-IV | OH | Yes |
Practice location
820 Pine Ave SeWarren, OH 44483-6524
Phone 330-393-0598
Mailing address
820 Pine Ave SeWarren, OH 44483-6524
Phone 330-393-0598
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