Jaclynn Sullivan Valid NPI

Individual provider · Licensed Practical Nurse · Frazeysburg, OH

NPI

1013438126

Type

Individual (Type 1)

Primary specialty

Licensed Practical Nurse

Specialty group

Nursing Service Providers

Taxonomy code

164W00000X

License number

LPN.150884.MEDS-IV (OH)

Sex

Female

Sole proprietor

Yes

Enumerated

2017-06-28

Last updated

2017-06-28