Jaclyn Lenai Mallett, LPN
Licensed Practical Nurse in Tipp City, OH. Individual provider (NPI-1).
NPI number1124375845
StatusActive
Last updated in NPPESAug 13, 2012
Details
- NPI
- 1124375845
- Entity type
- Individual (NPI-1)
- Name
- Jaclyn Lenai Mallett
- Credential
- LPN
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 13, 2012
- Last updated
- Aug 13, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | PN.144901-M-IV | OH | Yes |
Practice location
750 Cheyenne PlTipp City, OH 45371-1507
Phone 757-770-7860
Mailing address
750 Cheyenne PlTipp City, OH 45371-1507
Phone 757-770-7860
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All 12 Licensed Practical Nurse providers in Tipp City · All 333 providers in Tipp City
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