Individual provider · Type 1 NPI

Jack Durwood Skinner Ii, RN

Registered Nurse · Cheyenne, WY

NPI number 1245056175 Active

Practice location

2360 E Pershing Blvd
Cheyenne, WY 82001-5356

Mailing address

4115 Weathertop Ave
Cheyenne, WY 82001-2045

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse Primary 163W00000X0108652 (CO)

Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…

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About NPI 1245056175

Jack Durwood Skinner Ii, RN's National Provider Identifier is 1245056175, issued on Nov 25, 2024. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Cheyenne, WY. The record was last updated on Nov 25, 2024.