JACLYN LENAI MALLETT LPN
NPI 1124375845
Licensed Practical Nurse in Tipp City, OH

Q: What is Jaclyn Mallett's NPI number?

The NPI number for Jaclyn Mallett is 1124375845. It was assigned to this individual provider in the NPPES registry on August 13, 2012.

Q: What is Jaclyn Mallett's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

Q: When was this NPI record last updated?

The NPPES record for Jaclyn Mallett was last updated on August 13, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 13, 2012

750 CHEYENNE PL, TIPP CITY, OH 45371(757) 770-7860 Get Directions Write a Review

NPPES record last updated: August 13, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Jaclyn Lenai Mallett Lpn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACLYN LENAI MALLETT LPN (NPI 1124375845) is an individual licensed practical nurse in Tipp City, Ohio, licensed in Ohio (PN.144901-M-IV) and active in the NPI registry since August 2012.

NPPES Registry Identity

NPI1124375845

Entity TypeIndividualFemale

Primary Taxonomy164W00000X

Provider Legal NameJACLYN LENAI MALLETTCredential: LPN

Location Address750 CHEYENNE PLTipp City, OH 45371-1507

Mailing Address750 Cheyenne PlTipp City, OH 45371-1507 · (757) 770-7860

Phone(757) 770-7860

Sole ProprietorNo

Enumeration DateAugust 13, 2012

✔ NPI 1124375845 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers

Taxonomy Code164W00000X

License✔ Licensed in OH · PN.144901-M-IV

Definition

A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

750 CHEYENNE PL, Tipp City, OH 45371

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jaclyn Mallett's NPI number?

The NPI number for Jaclyn Mallett is 1124375845. It was assigned to this individual provider in the NPPES registry on August 13, 2012.

Where is Jaclyn Mallett located?

Jaclyn Mallett practices at 750 Cheyenne Pl, Tipp City, OH 45371. The listed phone number is (757) 770-7860.

What is Jaclyn Mallett's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Jaclyn Mallett was last updated on August 13, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.