Cheryl Adkins

Individual provider Active NPI Licensed Practical Nurse · Jackson, OH

NPI 1659611440 · NPPES record last updated Feb 15, 2013

Key facts

NPI
1659611440
Entity type
Individual (NPI type 1)
Primary specialty
Licensed Practical Nurse 164W00000X
License
PN120684-M-IV (OH)
Practice address
215 Seth Ave
Jackson, OH 45640-9405
Phone
(174) 086-7551
NPI assigned
Feb 15, 2013
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

LicenseStateTypeSpecialty
PN120684-M-IVOHMDLicensed Practical Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X PN120684-M-IV OH Yes

Addresses

Primary practice location

215 Seth Ave
Jackson, OH 45640-9405

Mailing address

215 Seth Ave
Jackson, OH 45640-9405

Other providers in Jackson, OH

All providers in Jackson, OH · Licensed Practical Nurse in Ohio

Sources for this page

Verify at the official NPI Registry.