Jill Ann Drajic, LPN

Individual provider Active NPI Licensed Practical Nurse · Struthers, OH

NPI 1720516586 · NPPES record last updated Jul 21, 2022

Key facts

NPI
1720516586
Entity type
Individual (NPI type 1)
Primary specialty
Licensed Practical Nurse 164W00000X
License
096428 (OH)
Practice address
505 W Wilson St
Struthers, OH 44471-1269
Phone
(330) 728-5232
NPI assigned
May 24, 2017
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
096428OHMDLicensed Practical Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 096428 OH Yes

Addresses

Primary practice location

505 W Wilson St
Struthers, OH 44471-1269

Mailing address

505 W Wilson St
Struthers, OH 44471-1269
Phone (330) 728-5232

Other providers in Struthers, OH

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

Sources for this page

Verify at the official NPI Registry.