Jake Oliver Warner , LPN
Licensed Practical Nurse • Sells, AZ
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Jake Warner has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Jake Warner, LPN was a registered Licensed Practical Nurse practicing in Sells, AZ. Throughout an active medical career spanning 9 years, Jake Warner provided care at the practice location at FEDERAL RTE. 15, SANTA ROSA VILLAGE until profile deactivation on 2018-10-05.
Practice Location & Contact Primary Location
Federal Rte. 15, Santa Rosa Village
Sells, AZ 85634
Specialty Benchmarks & Practice Insights
Comparative analytics for Licensed Practical Nurse in Sells, AZ
Practicing in Sells, AZ (1065 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 164W00000X
An individual 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.
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on October 05, 2018
NPI status registered as active in NPPES database
Registered at FEDERAL RTE. 15, SANTA ROSA VILLAGE, SELLS, AZ 85634 (Tel: 5203835570)
Registered at 7900 S J STOCK RD, TUCSON, AZ 857467012 (Tel: 5203835570)
Recorded as JAKE WARNER, LPN
Licensed Practical Nurse (License #6000 in AZ)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
7900 S J Stock Rd
Tucson, AZ 857467012
Phone: 5203835570
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