Doctor Name: | MRS. JOLENE LOREE DITTMER |
NPI Number: | 1770997827 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPNC |
License Number: | 465 |
Business Practice Address: | 1715 26th St Central City, NE - 688269501 |
Business Phone Number: | 3089463015 |
Business Fax Number: | 3089465914 |
Mailing Address: | 12849 A Rd, CLARKS |
State: | NE |
Postal Code: | 686286001 |
Phone Number: | 3085488114 |
Fax Number: | |
NPI Enumeration Date: | 06/17/2014 |
NPI Last Update Date: | 06/17/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 164W00000X |
License Number: | 465 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NE |
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. |