Individual provider · Type 1 NPI

Penny Waters, LPN

Licensed Practical Nurse · Jacksonville, FL

NPI number 1942670294 Active

Practice location

6639 Southpoint Pkwy, Suite 108
Jacksonville, FL 32216-8041

Call (904) 438-7640 Map

Fax (904) 438-7656

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000XPN 5210011 (FL)

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 1942670294

Penny Waters, LPN's National Provider Identifier is 1942670294, issued on Sep 30, 2015. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Jacksonville, FL. The record was last updated on Sep 30, 2015.