Provider Demographics
NPI:1346524618
Name:AUGENSTEIN, JENNIFER SUE (LPN)
Entity Type:Individual
Prefix:MS
First Name:JENNIFER
Middle Name:SUE
Last Name:AUGENSTEIN
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 1:364 JAMESWAY
Mailing Address - Street 2:APT G
Mailing Address - City:MARION
Mailing Address - State:OH
Mailing Address - Zip Code:43302
Mailing Address - Country:US
Mailing Address - Phone:740-262-1054
Mailing Address - Fax:
Practice Address - Street 1:364 JAMESWAY
Practice Address - Street 2:APT G
Practice Address - City:MARION
Practice Address - State:OH
Practice Address - Zip Code:43302
Practice Address - Country:US
Practice Address - Phone:740-262-1054
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-10-05
Last Update Date:2011-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPN118981164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse