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Mrs. Jacqueline Marie Pendergrass, LPN
Licensed Practical Nurse in Florence, Oregon
NPI 1447570437

Jacqueline Marie Pendergrass is a Licensed Practical Nurse based in Florence, OR. Jacqueline Marie Pendergrass practices in Florence, OR and has the professional credentials of LPN. The NPI Number for Jacqueline Marie Pendergrass is 1447570437 and holds a License No. 200630279LPN (Oregon).

The current practice location address for Jacqueline Marie Pendergrass is 1255 Laurel Street, Florence, OR and can be reached out via phone at 541-997-4015.

Location: 1255 Laurel Street, Florence, OR, 97439-0119
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1447570437
Provider Name
Jacqueline Marie Pendergrass
Credential
LPN
Provider Entity Type
Individual
Gender
Female
Address
1255 Laurel Street, Florence, OR, 97439-0119
Phone Number
541-997-4015
Fax Number
Provider Enumeration Date
06/02/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1255 Laurel Street
City
Florence
State
Oregon
Zip
97439-0119
Phone Number
541-997-4015
Fax Number
person
Provider Business Mailing Address Details
Address
1255 Laurel Street
City
Florence
State
Oregon
Zip
97439-0119
Phone Number
541-997-4015
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
200630279LPN (Oregon)
Definition
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
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