Patricia Pauline Jenkins, LPN
Individual provider Active NPI Licensed Practical Nurse · Scottown, OH
NPI 1003015470 · NPPES record last updated Jul 16, 2007
Key facts
- NPI
- 1003015470
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- PN094239 (OH)
- Practice address
- 10 Township Road 212 South
Scottown, OH 45678 - Phone
- (740) 643-0848
- NPI assigned
- Jul 16, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PN094239 | OH | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | PN094239 | OH | Yes |
Addresses
Primary practice location
10 Township Road 212 South
Scottown, OH 45678
Mailing address
10 Township Road 212 South
Scottown, OH 45678
Phone (740) 643-0848
Other providers in Scottown, OH
- Tina Burgess
- Dori Callicoat
- Nichole L Dickenson
- Laurabeth Dishman
- Rhonda Lynn Koo
- Ruth Miller
- Vicki G Miller
- Tonya Marie Walters
All providers in Scottown, OH · Licensed Practical Nurse in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 16, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.