Search › Ohio › 164W00000X
Jaclyn Mallett, LPN
NPI 1124375845 · on the registry since 2012
Practice
- Address
- 750 Cheyenne Pl
Tipp City, OH 45371 - Phone
- (757) 770-7860
Registry record
- Primary taxonomy
- 164W00000X
164W00000X
- Licence states on file
- OH
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2012-08-13
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Ohio