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Dedra Leann Charles, LPN
Licensed Practical Nurse in South Webster, Ohio
NPI 1710235718

Dedra Leann Charles is a Licensed Practical Nurse based in South Webster, OH. Dedra Leann Charles practices in South Webster, OH and has the professional credentials of LPN. The NPI Number for Dedra Leann Charles is 1710235718 and holds a License No. 120152 (Ohio).

The current practice location address for Dedra Leann Charles is 1004 Sugar Camp Jackson Fork Rd, South Webster, OH and can be reached out via phone at 740-285-0326 and via fax at 740-778-4016.

Location: 1004 Sugar Camp Jackson Fork Rd, South Webster, OH, 45682-9033
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1710235718
Provider Name
Dedra Leann Charles
Credential
LPN
Provider Entity Type
Individual
Gender
Female
Address
1004 Sugar Camp Jackson Fork Rd, South Webster, OH, 45682-9033
Phone Number
740-285-0326
Fax Number
740-778-4016
Provider Enumeration Date
08/22/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1004 Sugar Camp Jackson Fork Rd
City
South Webster
State
Ohio
Zip
45682-9033
Phone Number
740-285-0326
Fax Number
740-778-4016
person
Provider Business Mailing Address Details
Address
1004 Sugar Camp Jackson Fork Rd
City
South Webster
State
Ohio
Zip
45682-9033
Phone Number
740-285-0326
Fax Number
740-778-4016
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
120152 (Ohio)
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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