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Mr. Stacy Wayne Jefferson, LPN-IV
Licensed Practical Nurse in Georgetown, Ohio
NPI 1861645574

Stacy Wayne Jefferson is a Licensed Practical Nurse based in Georgetown, OH. Stacy Wayne Jefferson practices in Georgetown, OH and has the professional credentials of LPN-IV. The NPI Number for Stacy Wayne Jefferson is 1861645574 and holds a License No. PN127734 IV (Ohio).

The current practice location address for Stacy Wayne Jefferson is 432 N Green St, Georgetown, OH and can be reached out via phone at 937-213-0588.

Location: 432 N Green St, Georgetown, OH, 45121-1011
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1861645574
Provider Name
Stacy Wayne Jefferson
Credential
LPN-IV
Provider Entity Type
Individual
Gender
Male
Address
432 N Green St, Georgetown, OH, 45121-1011
Phone Number
937-213-0588
Fax Number
Provider Enumeration Date
10/25/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
432 N Green St
City
Georgetown
State
Ohio
Zip
45121-1011
Phone Number
937-213-0588
Fax Number
person
Provider Business Mailing Address Details
Address
432 N Green St
City
Georgetown
State
Ohio
Zip
45121-1011
Phone Number
937-213-0588
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
PN127734 IV (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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