Individual provider · Type 1 NPI

Keriann Ensworth

Licensed Practical Nurse · Medford, OR

NPI number 1114561925 Active

Practice location

777 Murphy Rd
Medford, OR 97504-8425

Call (541) 772-2763 Map

Fax (541) 734-3164

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X201900725LPN (OR)

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 1114561925

Keriann Ensworth's National Provider Identifier is 1114561925, issued on Nov 5, 2019. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Medford, OR. The record was last updated on Nov 5, 2019.