NPI 1124375845

Jaclyn Lenai Mallett, LPN

Practitioner Licensed Practical Nurse Tipp City, OH

Practice location

Address: 750 Cheyenne Pl, Tipp City, OH 45371-1507
Phone: (757) 770-7860

Registered specialties

Licensed Practical Nurse Primary

Nursing Service Providers Taxonomy 164W00000X Licence PN.144901-M-IV (OH)

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Registry record

NPI: 1124375845
Entity type: Individual
Sex (as registered): Female
NPI issued: 13 Aug 2012
Record last updated: 13 Aug 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.