Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACKIE L KENNEDY, BACHELORS, LPN
Active Sole ProprietorJACKIE L KENNEDY, BACHELORS, LPN is a Licensed Practical Nurse healthcare provider located in TWIN FALLS, Idaho. NPI 1467272013 is currently active in the NPPES registry. Verify at CMS.
Licensed Practical Nurse · TWIN FALLS, ID
Registration Details
- NPI Number
- 1467272013
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 16, 2024 (1.8457520625338 yrs)
- Last Updated
- Oct 16, 2024
- License
-
10114 (ID)
- Sole Proprietor
- Yes
Practice Information
- Address
-
479 POLK ST # B4TWIN FALLS, ID, 833014850Browse ID providers · Browse ZIP 83301
- Phone
- 2083391756
- Fax
- 8554617240
- Primary Specialty
-
Licensed Practical Nurse
164W00000X
Other Licensed Practical Nurse Providers in TWIN FALLS, ID
| Name | Credential | NPI |
|---|---|---|
| VIRGINIA GAMBREL | — | 1538540695 |
| MARY MAVENCAMP | LPN | 1033734470 |
| JANA KAY JUKER | LPN | 1770108631 |
| FAYE L LEWIS | LPN | 1891310728 |
| JACOB MANUEL HERNANDEZ | LPN | 1427779057 |
| HEATHER J FIVECOAT | LPN | 1588385181 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.