Individual provider · Type 1 NPI

Jacquelyn Lusk

Licensed Practical Nurse · Holley, NY

NPI number 1174944797 Active

Practice location

22A Mechanic St
Holley, NY 14470-1157

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X247778-1 (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 1174944797

Jacquelyn Lusk's National Provider Identifier is 1174944797, issued on Dec 27, 2013. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Holley, NY. The record was last updated on Dec 27, 2013.