Jessica Burke
Individual provider Active NPI Licensed Practical Nurse · Pedro, OH
NPI 1922480268 · NPPES record last updated Jun 23, 2015
Key facts
- NPI
- 1922480268
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- PN.112008-MEDS (OH)
- Practice address
- 115 Private Road 977
Pedro, OH 45659-8608 - Phone
- (740) 534-1386
- Fax
- (740) 534-1497
- NPI assigned
- Jun 23, 2015
- 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 |
|---|---|---|---|
| PN.112008-MEDS | OH | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | PN.112008-MEDS | OH | Yes |
Addresses
Primary practice location
115 Private Road 977
Pedro, OH 45659-8608
Mailing address
115 Private Road 977
Pedro, OH 45659-8608
Phone (740) 534-1386
Other providers in Pedro, OH
- Robin Lynn Brown
- Stevie Brown
- Paul Bruce
- Anisa J Bryant
- Bonnie Frances Bryant
- Riley Angelina Burnett
- Mark Elder Burton
- Ashley Campbell
- Brea Dawn Canterbury
- T. Steven Cantley
All providers in Pedro, OH · Licensed Practical Nurse in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 23, 2015. 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.