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MRS. JACQUELINE MARIE PENDERGRASS LPN
NPI 1447570437
Licensed Practical Nurse in Florence, OR

Active since June 02, 2010
1255 LAUREL STREET, FLORENCE, OR 97439(541) 997-4015 Get Directions Write a Review

NPPES record last updated: December 27, 2010. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Mrs. Jacqueline Marie Pendergrass Lpn NPPES

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

MRS. JACQUELINE MARIE PENDERGRASS LPN (NPI 1447570437) is an individual licensed practical nurse in Florence, Oregon, licensed in Oregon (200630279LPN) and active in the NPI registry since June 2010.

NPPES Registry Identity

NPI1447570437
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameMRS. JACQUELINE MARIE PENDERGRASSCredential: LPN
Location Address1255 LAUREL STREETFlorence, OR 97439-0119
Mailing AddressPo Box 1839Florence, OR 97439-0119 · (541) 997-4015
Phone(541) 997-4015
Sole ProprietorNo
Enumeration DateJune 2, 2010
Last NPPES UpdateDecember 27, 2010
✔ NPI 1447570437 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 OR · 200630279LPN
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.
1255 LAUREL STREET, Florence, OR 97439
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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 Jacqueline Pendergrass's NPI number?

The NPI number for Jacqueline Pendergrass is 1447570437. It was assigned to this individual provider in the NPPES registry on June 2, 2010.

Where is Jacqueline Pendergrass located?

Jacqueline Pendergrass practices at 1255 Laurel Street, Florence, OR 97439. The listed phone number is (541) 997-4015.

What is Jacqueline Pendergrass'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 Jacqueline Pendergrass was last updated on December 27, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.