Jean Ann Sellers, LPN

Individual provider Active NPI Licensed Practical Nurse · Pleasant City, OH

NPI 1801049671 · NPPES record last updated Jan 28, 2014

Key facts

NPI
1801049671
Entity type
Individual (NPI type 1)
Primary specialty
Licensed Practical Nurse 164W00000X
License
128501 (OH)
Practice address
511 Maple St
Pleasant City, OH 43772-9781
Phone
(740) 801-0008
NPI assigned
Oct 24, 2008
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
128501OHMDLicensed Practical Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 128501 OH Yes

Addresses

Primary practice location

511 Maple St
Pleasant City, OH 43772-9781

Mailing address

511 Maple St
Pleasant City, OH 43772-9781
Phone (740) 801-0008

Other providers in Pleasant City, OH

All providers in Pleasant City, OH · Licensed Practical Nurse in Ohio

Sources for this page

Verify at the official NPI Registry.