Doctor Name: | JENNIFER A EDWARDS |
NPI Number: | 1457411365 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | L.P.N. |
License Number: | PN1246101 |
Business Practice Address: | 115 K D Revell Rd Wauchula, FL - 338732051 |
Business Phone Number: | 8637733147 |
Business Fax Number: | 8637730978 |
Mailing Address: | 115 K D Revell Rd, WAUCHULA |
State: | FL |
Postal Code: | 338732051 |
Phone Number: | 8637733147 |
Fax Number: | 8637730978 |
NPI Enumeration Date: | 12/11/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 164W00000X |
License Number: | PN1246101 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
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. |