Provider Demographics
NPI:1689073389
Name:JEGLINSKI, LINDSAY (RN)
Entity Type:Individual
Prefix:MRS
First Name:LINDSAY
Middle Name:
Last Name:JEGLINSKI
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5144 WOLF RUN DR
Mailing Address - Street 2:
Mailing Address - City:ERIE
Mailing Address - State:PA
Mailing Address - Zip Code:16505-5506
Mailing Address - Country:US
Mailing Address - Phone:814-397-5163
Mailing Address - Fax:
Practice Address - Street 1:5144 WOLF RUN DR
Practice Address - Street 2:
Practice Address - City:ERIE
Practice Address - State:PA
Practice Address - Zip Code:16505-5506
Practice Address - Country:US
Practice Address - Phone:814-397-5163
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-08-19
Last Update Date:2014-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA620524163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse