Jennifer M Wade, LPN
Individual provider Active NPI Licensed Practical Nurse · Sebring, OH
NPI 1528318219 · NPPES record last updated Dec 5, 2012
Key facts
- NPI
- 1528318219
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- 147731 (OH)
- Practice address
- 165 E Ohio Ave
Sebring, OH 44672-1410 - Phone
- (330) 257-1780
- NPI assigned
- Sep 11, 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 |
|---|---|---|---|
| 147731 | OH | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 147731 | OH | Yes |
Addresses
Primary practice location
165 E Ohio Ave
Sebring, OH 44672-1410
Mailing address
165 E Ohio Ave
Sebring, OH 44672-1410
Phone (330) 257-1780
Other providers in Sebring, OH
- Solutions Counseling Center
- Wanda S Stephens
- Bonnie Thomas
- Vicki Lynn Tibbs
- Triecare Residential Services, LLC
- Regina Lou Welsch
- Laurie Sue Williams
- Rachel Merie Woodburn
- Diane Lee Yeagley
- Cheryl Lynn Young
All providers in Sebring, 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 Dec 5, 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.