Individual provider · Type 1 NPI
Jennifer D. Basham, LPN
Licensed Practical Nurse · Princeton, WV
Practice location
200 12th Street Ext
Princeton, WV 24740-2329
Fax (304) 487-3984
Mailing address
702 Thornton Ave
Princeton, WV 24740-2855
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Licensed Practical Nurse Primary | 164W00000X | 30708 (WV) |
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 1619802659
Jennifer D. Basham, LPN's National Provider Identifier is 1619802659, issued on Jun 12, 2026. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Princeton, WV. The record was last updated on Jun 12, 2026.