Jennifer Marie Legg, LPN
Individual provider Active NPI Licensed Practical Nurse · Lake Station, IN
NPI 1699043190 · NPPES record last updated Dec 12, 2011
Key facts
- NPI
- 1699043190
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- 27067504A (IN)
- Practice address
- 2075 Ripley St
Lake Station, IN 46405-1161 - Phone
- (219) 962-5311
- NPI assigned
- Dec 12, 2011
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|
| 27067504A | IN | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 27067504A | IN | Yes |
Addresses
Primary practice location
2075 Ripley St
Lake Station, IN 46405-1161
Mailing address
8400 Louisiana St
Merrillville, IN 46410-6385
Phone (219) 757-1928
Other providers in Lake Station, IN
- David Edward Jackson III
- Michael Robert Johnson
- Mnyisei Elaine Kamvazaana
- Gabrielle Shay Kasarda
- Lake Station Community Schools
- Ronald Samuel Lemon II
- Troy M Mannino
- Amy Janette Maxberry
- Jennifer Niemeyer
- Nikki a Wargo DDS
All providers in Lake Station, IN · Licensed Practical Nurse in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 12, 2011. 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.