Individual provider · Type 1 NPI

Jessica C. Boylan, LPN

Licensed Practical Nurse · Massillon, OH

NPI number 1104615079 Active

Practice location

1680 Nave Rd SE Fl 1
Massillon, OH 44646-9604

Fax (234) 521-7091

Mailing address

625 Cleveland Ave NW
Canton, OH 44702-1805

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000XLPN.169230.MEDS-IV (OH)

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.

14 other providers at this address

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About NPI 1104615079

Jessica C. Boylan, LPN's National Provider Identifier is 1104615079, issued on May 6, 2025. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Massillon, OH. The record was last updated on May 6, 2025.