Jill Ann Skeddle, LPN
Licensed Practical Nurse in Fairport, NY. Individual provider (NPI-1).
NPI number1679842017
StatusActive
Last updated in NPPESDec 14, 2011
Details
- NPI
- 1679842017
- Entity type
- Individual (NPI-1)
- Name
- Jill Ann Skeddle
- Credential
- LPN
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 14, 2011
- Last updated
- Dec 14, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | 247918 | NY | Yes |
Practice location
41 Oconnor RdFairport, NY 14450-1327
Phone 585-288-8316
Mailing address
41 Oconnor RdFairport, NY 14450-1327
Phone 585-288-8316
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