Most Relevant Information
Provider Data
| NPI Number: | 1003218157 |
| Provider Name: | KRISTINE JENNE LPN |
| Entity Type: | Individual |
| Taxonomy Code: | 164W00000X |
| Specialty: | Licensed Practical Nurse |
| License Number: | PN-062301 |
Most Important Dates
| Enumeration Date: | 09/19/2014 |
| Last Updated: | 09/19/2014 |
Provider Practice Location
164 HANNUM AVE
ROSSFORD
OH
434601110
Practice Location Phone/Fax
| Phone: | 4193770045 |
| Fax: |
Provider Mailing Location
164 HANNUM AVE
ROSSFORD
OH
434601110
Provider Mailing Phone/Fax
| Phone: | 4193770045 |
| Fax: |