Individual provider · Type 1 NPI

Jackie L. Kennedy, BACHELORS, LPN

Licensed Practical Nurse · Twin Falls, ID

NPI number 1467272013 Active

Practice location

479 Polk St # B4
Twin Falls, ID 83301-4850

Fax (855) 461-7240

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X10114 (ID)

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 1467272013

Jackie L. Kennedy, BACHELORS, LPN's National Provider Identifier is 1467272013, issued on Oct 16, 2024. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Twin Falls, ID. The record was last updated on Oct 16, 2024.