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Theresa Adele Long
Licensed Practical Nurse in Logan, Ohio
NPI 1962836379

Theresa Adele Long is a Licensed Practical Nurse based in Logan, OH. Theresa Adele Long practices in Logan, OH. The NPI Number for Theresa Adele Long is 1962836379 and holds a License No. PN089455 (Ohio).

The current practice location address for Theresa Adele Long is 10099 Webb Rd, Logan, OH and can be reached out via phone at 740-583-0772.

Location: 10099 Webb Rd, Logan, OH, 43138-8450
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1962836379
Provider Name
Theresa Adele Long
Credential
Provider Entity Type
Individual
Gender
Female
Address
10099 Webb Rd, Logan, OH, 43138-8450
Phone Number
740-583-0772
Fax Number
Provider Enumeration Date
08/22/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
10099 Webb Rd
City
Logan
State
Ohio
Zip
43138-8450
Phone Number
740-583-0772
Fax Number
person
Provider Business Mailing Address Details
Address
10099 Webb Rd
City
Logan
State
Ohio
Zip
43138-8450
Phone Number
740-583-0772
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
PN089455 (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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