NPI 1285854828

Jacqueline Sue Perdue-Dorathy, LPN

Practitioner Licensed Practical Nurse Fort Leavenworth, KS

Practice location

Address: 550 Pope Ave, Fort Leavenworth, KS 66027-2332
Phone: (913) 681-6170
Mailing address: 19445 Countryside Cir, Weston, MO 64098-9127

Registered specialties

Licensed Practical Nurse Primary

Nursing Service Providers Taxonomy 164W00000X Licence 23-27018-081 (KS)

Other Licensed Practical Nurse providers in Kansas →

Registry record

NPI: 1285854828
Entity type: Individual
Sex (as registered): Female
NPI issued: 26 Apr 2007
Record last updated: 8 Jul 2007

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.