Jackie Sue Liles, LPN

NPI #1265236400 in Huntsville, Ohio

Provider Information

NPI Number
1265236400
Entity Type
Individual
Name
Jackie Sue Liles, LPN
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Licensed Practical Nurse
Credential
LPN
Enumeration Date
Apr 4, 2025
Last Updated
Apr 4, 2025

Practice Location

Address
3209 TOWNSHIP ROAD 31 N
State
Ohio
ZIP Code
43324-7501
Phone
(937) 869-2256

Specialties & Taxonomy Codes

Specialty
Licensed Practical Nurse

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