Individual provider · Type 1 NPI

Theresa Adele Long

Licensed Practical Nurse · Logan, OH

NPI number 1962836379 Active

Practice location

10099 Webb Rd
Logan, OH 43138-8450

Call (740) 583-0772 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000XPN089455 (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 1962836379

Theresa Adele Long's National Provider Identifier is 1962836379, issued on Aug 22, 2013. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Logan, OH. The record was last updated on Aug 22, 2013.