NPI 1679845218

Jessica Lynn Raulerson, LPN

Practitioner Licensed Practical Nurse Davenport, FL

Practice location

Address: 101 E Palmetto St, Davenport, FL 33837-4183
Phone: (863) 422-1409

Registered specialties

Licensed Practical Nurse Primary

Nursing Service Providers Taxonomy 164W00000X Licence PN-5178839 (FL)

Other Licensed Practical Nurse providers in Florida →

Registry record

NPI: 1679845218
Entity type: Individual
Sex (as registered): Female
NPI issued: 28 Jan 2012
Record last updated: 28 Jan 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.