Individual provider · Type 1 NPI
Jennifer R. Derendal, LPN
Licensed Practical Nurse · Myrtle Beach, SC
NPI number
1023829074
Active
Practice location
606 Cattle Drive Cir
Myrtle Beach, SC 29588-3734
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Licensed Practical Nurse Primary | 164W00000X | 54820 (SC) |
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 1023829074
Jennifer R. Derendal, LPN's National Provider Identifier is 1023829074, issued on Jan 17, 2025. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Myrtle Beach, SC. The record was last updated on Jan 17, 2025.