Jackie L Boone, LPN

NPI #1376796664 in Mason, Ohio

Provider Information

NPI Number
1376796664
Entity Type
Individual
Name
Jackie L Boone, LPN
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Licensed Practical Nurse
Credential
LPN
Enumeration Date
Oct 30, 2008
Last Updated
Oct 30, 2008

Practice Location

Address
4811 OLD IRWIN SIMPSON RD
City
Mason
State
Ohio
ZIP Code
45040-9758
Phone
(513) 253-5301

Specialties & Taxonomy Codes

Specialty
Licensed Practical Nurse

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