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JACKIE L KENNEDY BACHELORS, LPN
NPI 1467272013
Licensed Practical Nurse in Twin Falls, ID

Active since October 16, 2024
479 POLK ST # B4, TWIN FALLS, ID 83301(208) 339-1756(855) 461-7240 Get Directions Write a Review

NPPES record last updated: October 16, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jackie L Kennedy Bachelors, Lpn NPPES

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

JACKIE L KENNEDY BACHELORS, LPN (NPI 1467272013) is an individual licensed practical nurse in Twin Falls, Idaho, licensed in Idaho (10114) and active in the NPI registry since October 2024.

NPPES Registry Identity

NPI1467272013
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameJACKIE L KENNEDYCredential: BACHELORS, LPN
Location Address479 POLK ST # B4Twin Falls, ID 83301-4850
Mailing Address479 Polk St # B4Twin Falls, ID 83301-4850 · (208) 339-1756 · Fax (855) 461-7240
Phone(208) 339-1756
Fax(855) 461-7240
Sole ProprietorYes
Enumeration DateOctober 16, 2024
NPPES CertifiedOctober 16, 2024
✔ NPI 1467272013 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 ID · 10114
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.

479 POLK ST # B4, Twin Falls, ID 83301
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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 Jackie Kennedy's NPI number?

The NPI number for Jackie Kennedy is 1467272013. It was assigned to this individual provider in the NPPES registry on October 16, 2024.

Where is Jackie Kennedy located?

Jackie Kennedy practices at 479 Polk St # B4, Twin Falls, ID 83301. The listed phone number is (208) 339-1756.

What is Jackie Kennedy'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 Jackie Kennedy was last updated on October 16, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.