Provider Demographics
NPI:1568658375
Name:POWERS, BESSIE A (LPN)
Entity Type:Individual
Prefix:
First Name:BESSIE
Middle Name:A
Last Name:POWERS
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 1:9105 BLAIN HWY
Mailing Address - Street 2:
Mailing Address - City:CHILLICOTHE
Mailing Address - State:OH
Mailing Address - Zip Code:45601-7609
Mailing Address - Country:US
Mailing Address - Phone:740-779-3867
Mailing Address - Fax:
Practice Address - Street 1:9105 BLAIN HWY
Practice Address - Street 2:
Practice Address - City:CHILLICOTHE
Practice Address - State:OH
Practice Address - Zip Code:45601-7609
Practice Address - Country:US
Practice Address - Phone:740-779-3867
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-09-15
Last Update Date:2007-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPN. 117504164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse