Jessie Wells, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

LPN.160316.MEDS-IV Issued in OH

Practice address

1581 Marion Waldo Rd Unit 710
Marion, OH 43302-7423

Phone

(740) 251-4175

NPI assigned

Jan 6, 2021

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Pinnacle Treatment Centers Oh-Xiv, LLC

  • Methadone Clinic
  • Marion, OH
  • NPI 1467078535
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1609891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609891200000",
    "number": "1548858426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1581 MARION WALDO RD UNIT 710",
            "city": "MARION",
            "state": "OH",
            "postal_code": "433027423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1581 MARION WALDO RD UNIT 710",
            "city": "MARION",
            "state": "OH",
            "postal_code": "433027423",
            "telephone_number": "740-251-4175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELLS",
        "first_name": "JESSIE",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-06",
        "last_updated": "2021-01-06",
        "certification_date": "2021-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "LPN.160316.MEDS-IV",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristan Marie Warren, LISW
• Dana Watts, LMT
• Laurie Elaine Weaver, LPT
• Michelle A Webb, OT
• Kaitlin Johnelle Welch Millisor
• Anthony Charles Wene, ATC
• Marvin Wesley
• Adam White, P.A-C
• Cheryl Beth White
• Douglas White, CRNA

• Licensed Practical Nurse in Marion, OH
• Providers in Marion, OH by specialty
• Licensed Practical Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.