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Jaquietta R Isom, LPN
Licensed Practical Nurse in Lorain, Ohio
NPI 1972259109

Jaquietta R Isom is a Licensed Practical Nurse based in Lorain, OH. Jaquietta R Isom practices in Lorain, OH and has the professional credentials of LPN. The NPI Number for Jaquietta R Isom is 1972259109 and holds a License No. 174003-MEDS-IV (Ohio).

The current practice location address for Jaquietta R Isom is 719 W 21St St, Lorain, OH and can be reached out via phone at 440-654-3054.

Location: 719 W 21St St, Lorain, OH, 44052-4729
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1972259109
Provider Name
Jaquietta R Isom
Credential
LPN
Provider Entity Type
Individual
Gender
Female
Address
719 W 21St St, Lorain, OH, 44052-4729
Phone Number
440-654-3054
Fax Number
Provider Enumeration Date
02/25/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
719 W 21St St
City
Lorain
State
Ohio
Zip
44052-4729
Phone Number
440-654-3054
Fax Number
person
Provider Business Mailing Address Details
Address
719 W 21St St
City
Lorain
State
Ohio
Zip
44052-4729
Phone Number
440-654-3054
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
174003-MEDS-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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