Jennifer Marlene Diggs, LPN
Individual provider Active NPI Licensed Practical Nurse · Fort Leavenworth, KS
NPI 1194096271 · NPPES record last updated Jan 20, 2012
Key facts
- NPI
- 1194096271
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- 68455 (NC)
- Practice address
- 550 Pope Ave
Fort Leavenworth, KS 66027-2332 - Phone
- (913) 684-6562
- NPI assigned
- Jan 20, 2012
- 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 |
|---|---|---|---|
| 68455 | NC | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 68455 | NC | Yes |
Addresses
Primary practice location
550 Pope Ave
Fort Leavenworth, KS 66027-2332
Mailing address
550 Pope Ave
Fort Leavenworth, KS 66027-2332
Other providers in Fort Leavenworth, KS
- Cory Austin Diaz
- Alexandra Nicole Dibasilio
- Jennifer Dick
- Judith Ann Dickie
- Jeffrey Jay Dietrich
- Robin Nadine Diviney
- Michael Dlugopolski
- Alexandra Doak
- Olivia Douglass
- Jessica Dubose
All providers in Fort Leavenworth, KS · Licensed Practical Nurse in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 20, 2012. 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.