Individual provider · Type 1 NPI
Jacqueline Marie Pendergrass, LPN
Licensed Practical Nurse · Florence, OR
NPI number
1447570437
Active
Practice location
1255 Laurel Street
Florence, OR 97439-0119
Mailing address
PO Box 1839
Florence, OR 97439-0119
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Licensed Practical Nurse Primary | 164W00000X | 200630279LPN (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.
About NPI 1447570437
Jacqueline Marie Pendergrass, LPN's National Provider Identifier is 1447570437, issued on Jun 2, 2010. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Florence, OR. The record was last updated on Dec 27, 2010.