Provider Demographics
NPI:1396002424
Name:BEKELESKY, JENNIFER MARGARET (LPN)
Entity Type:Individual
Prefix:MRS
First Name:JENNIFER
Middle Name:MARGARET
Last Name:BEKELESKY
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 1:2356 EDWIN AVE
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44314-3601
Mailing Address - Country:US
Mailing Address - Phone:330-753-5994
Mailing Address - Fax:
Practice Address - Street 1:2356 EDWIN AVE.
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44314-3601
Practice Address - Country:US
Practice Address - Phone:330-753-5994
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-13
Last Update Date:2012-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPN117464164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse