Individual provider · Type 1 NPI

Stacy Wayne Jefferson, LPN-IV

Licensed Practical Nurse · Georgetown, OH

NPI number 1861645574 Active

Practice location

432 N Green St
Georgetown, OH 45121-1011

Call (937) 213-0588 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000XPN127734 IV (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 1861645574

Stacy Wayne Jefferson, LPN-IV's National Provider Identifier is 1861645574, issued on Oct 25, 2008. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Georgetown, OH. The record was last updated on Oct 25, 2008.