NPI 1285854828 MR. JACQUELINE SUE PERDUE-DORATHY LPN WESTON MO. Find Phone Number, Address, Contact details of medical healthcare providers | NPI Number Lookup

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Mr. Jacqueline Sue Perdue-dorathy - NPI: 1285854828

National Provider Identifier (NPI) is a 10-digit identification number which is issued to health care providers by the Centers for Medicare and Medicaid Services (CMS) in the United States(US). The NPI is introduced to replace of UPIN (unique provider identification number) and now NPI is the only required identifier for Medicare services, and NPI is also used by commercial healthcare insurers and by other payers.

Doctor Name: MR. JACQUELINE SUE PERDUE-DORATHY
NPI Number: 1285854828
Entity Type Code: Individual (1)
Gender: F
Credentials: LPN
License Number: 23-27018-081
Business Practice Address: 550 Pope Ave
Fort Leavenworth, KS - 660272332
Business Phone Number: 9136816170
Business Fax Number:
Mailing Address: 19445 Countryside Cir,
WESTON
State: MO
Postal Code: 640989127
Phone Number: 9136846170
Fax Number:
NPI Enumeration Date: 04/26/2007
NPI Last Update Date: 07/08/2007
Replacement NPI: 0
NPI Deactivation Date:
NPI Reactivation Date:

Taxonomy Information:

Healthcare Provider Taxonomy: 164W00000X
License Number: 23-27018-081
Healthcare Provider Taxonomy:
(Secondary)
Y
State: KS
Taxonomy Type: Nursing Service Providers
Taxonomy Classification: Licensed Practical Nurse
Taxonomy Specialization:
Taxonomy Definition:
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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