Joan Loretta Conklin, LPN
Individual provider Active NPI Licensed Practical Nurse · Upper Sandusky, OH
NPI 1184631301 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1184631301
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- PN094712 (OH)
- Practice address
- 6829 Ch128
Upper Sandusky, OH 43351-0176 - Phone
- (419) 927-5193
- Fax
- (419) 927-5593
- NPI assigned
- Aug 1, 2006
- 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 |
|---|---|---|---|
| PN094712 | OH | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | PN094712 | OH | Yes |
Addresses
Primary practice location
6829 Ch128
Upper Sandusky, OH 43351-0176
Mailing address
6829 Ch128
Upper Sandusky, OH 43351-0176
Phone (419) 927-5193
Other providers in Upper Sandusky, OH
- Chong S Cha
- Young C Choy
- Cherie Rose Clintsman
- Leslie Ann Conigy
- Jacob Ezra Conklin
- Holly Nicole Conley
- Cari Renee Corfman
- Jodi Lynn Courtad Holman
- Courtad-Holman Counseling LLC
- Shae Renee Culver
All providers in Upper Sandusky, 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 8, 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.