IndividualActive
Jennifer Maynard, LPN
NPI 1164914479 · Licensed Practical Nurse · Pedro, OH
Provider details
- NPI number
- 1164914479
- Entity type
- Individual
- Primary specialty
- Licensed Practical NurseNursing Service Providers
- Credential
- LPN
- Sex
- Female
- Sole proprietor
- No
- License
- 149233 (OH)
Specialties & taxonomies
Nursing Service Providers
Practice location
115 Private Road 977
Pedro, OH 45659-8608
Phone: (740) 534-1386
Approximate (ZIP-level) locationGet directions
Mailing address
115 Private Road 977
Pedro, OH 45659-8608
Registry dates
- Enumerated
- 2018-06-01
- Last updated
- 2018-06-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.