What is Jamie Pugh's NPI number?

The NPI number assigned to this healthcare provider is 1124735915, enumerated as a individual on November 1, 2022.

Where is the provider located?

The provider is located at 1750 W BROADWAY COUNCIL BLUFFS, IA 51501 and the phone number is (712) 215-6588.

What is the provider's specialty?

The provider's specialty is Licensed Practical Nurse with taxonomy code 164W00000X.

JAMIE RENEA PUGH LPN - NPI 1124735915 - Licensed Practical Nurse in Council Bluffs, IA

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About Jamie Renea Pugh Lpn NPPES

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

JAMIE RENEA PUGH LPN (NPI 1124735915) is an individual licensed practical nurse in Council Bluffs, Iowa, licensed in Iowa (P46589) and active in the NPI registry since November 2022.

NPPES Registry Identity

NPI1124735915

Entity TypeIndividualFemale

Primary Taxonomy164W00000X

Provider Legal NameJAMIE RENEA PUGHCredential: LPN

Location Address1750 W BROADWAYCouncil Bluffs, IA 51501-3814

Mailing Address1750 W BroadwayCouncil Bluffs, IA 51501-3814 · (712) 215-6588

Phone(712) 215-6588

Sole ProprietorNo

Enumeration DateNovember 1, 2022

NPPES CertifiedNovember 1, 2022

✔ NPI 1124735915 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 IA · P46589

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.

1750 W BROADWAY, Council Bluffs, IA 51501

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