Individual provider · Type 1 NPI

Nicole Lynn Wallis, LPN

Licensed Practical Nurse · Wellston, OH

NPI number 1154409357 Active

Practice location

421 East 1st Street
Wellston, OH 45692

Call (740) 384-4341 Map

Mailing address

421 E 1st St
Wellston, OH 45692-1505

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X103921 (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.

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About NPI 1154409357

Nicole Lynn Wallis, LPN's National Provider Identifier is 1154409357, issued on Nov 2, 2006. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Wellston, OH. The record was last updated on Jul 8, 2007.