Jacqueline Sue Perdue-Dorathy in Weston - Licensed Practical Nurse
Jacqueline Sue Perdue-Dorathy - NPI 1285854828
Jacqueline Sue Perdue-Dorathy is a Licensed Practical Nurse in Weston, Missouri. Jacqueline Sue Perdue-Dorathy practices all healthcare services and medical treatments related to Licensed Practical Nurse. The NPI Number for Jacqueline Sue Perdue-Dorathy is 1285854828. The last update date is 2007-07-08.
Jacqueline Sue Perdue-Dorathy's current location address is 19445 Countryside Cir, Weston, Missouri. You can contact this provider via phone number 9136846170. The mailing address for Jacqueline Sue Perdue-Dorathy is 19445 Countryside Cir, Weston, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jacqueline Sue Perdue-Dorathy |
|---|---|
| Address | 19445 Countryside Cir, Weston, Missouri |
| Phone Number | 9136846170 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | LPN |
NPI Number Detail
| NPI Number | 1285854828 |
|---|---|
| Provider Enumeration Date | 2007-04-26 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 19445 Countryside Cir |
|---|---|
| City | Weston |
| State | Missouri (MO) |
| Post Code | 640989127 |
| Phone Number | 9136846170 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Licensed Practical Nurse |
|---|---|
| Taxonomy | 164W00000X |
| Licence No | 23-27018-081 |
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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 r |
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Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Jacqueline Sue Perdue-Dorathy by the Centers for Medicare & Medicaid Services?
The Jacqueline Sue Perdue-Dorathy has been assigned the NPI (National Provider Identifier) 1285854828 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Jacqueline Sue Perdue-Dorathy's facilities are situated?
The facilities of Jacqueline Sue Perdue-Dorathy are physically located at the following address: 19445 Countryside Cir, Weston, MO, 640989127.
What is the Jacqueline Sue Perdue-Dorathy's specialty and taxonomy code?
The Jacqueline Sue Perdue-Dorathy's specialty is Licensed Practical Nurse, and the corresponding taxonomy code is 164W00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1285854828 to Jacqueline Sue Perdue-Dorathy?
The Centers for Medicare & Medicaid Services assigned the 1285854828 to Jacqueline Sue Perdue-Dorathy on 2007-04-26.
As of what date were the Jacqueline Sue Perdue-Dorathy's details last updated?
The information pertaining to the Jacqueline Sue Perdue-Dorathy, including its address, specialty, and other details, was most recently updated on 2007-07-08.