Individual provider · Type 1 NPI

Lisa Jaeckle

Licensed Practical Nurse · Jamestown, NY

NPI number 1003356072 Active

Practice location

220 Fluvanna Ave
Jamestown, NY 14701-2052

Call (716) 487-1131 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X204983 (NY)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1003356072

Lisa Jaeckle's National Provider Identifier is 1003356072, issued on Feb 24, 2017. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Jamestown, NY. The record was last updated on Feb 24, 2017.