Individual provider · Type 1 NPI

Jateya Wallace, LPN

Licensed Practical Nurse · Wickliffe, OH

NPI number 1851142665 Active

Practice location

1630 Ridgewick Dr
Wickliffe, OH 44092-1629

Call (440) 687-7023 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X178345 (OH)

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 1851142665

Jateya Wallace, LPN's National Provider Identifier is 1851142665, issued on Mar 29, 2024. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Wickliffe, OH. The record was last updated on Mar 29, 2024.