Provider Demographics
NPI:1245599034
Name:LESS, JEANNE LYNN (LPN)
Entity Type:Individual
Prefix:MRS
First Name:JEANNE
Middle Name:LYNN
Last Name:LESS
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:212 SPRING ST.
Mailing Address - Street 2:
Mailing Address - City:WOODVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43469-1349
Mailing Address - Country:US
Mailing Address - Phone:419-704-1520
Mailing Address - Fax:
Practice Address - Street 1:212 SPRING ST.
Practice Address - Street 2:
Practice Address - City:WOODVILLE
Practice Address - State:OH
Practice Address - Zip Code:43469-1349
Practice Address - Country:US
Practice Address - Phone:419-704-1520
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-05-14
Last Update Date:2012-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPN078815164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse