Jacqueline Marie Pendergrass , LPN
Licensed Practical Nurse • Florence, OR
Professional Overview & Biography Verified Profile Summary
Jacqueline Pendergrass, LPN is a registered healthcare professional specializing in Licensed Practical Nurse in Florence, OR. Practice services are available at 1255 LAUREL STREET under active NPI credentials.
Practice Location & Contact Primary Location
1255 Laurel Street
Florence, OR 974390119
Specialty Benchmarks & Practice Insights
Comparative analytics for Licensed Practical Nurse in Florence, OR
Practicing in Florence, OR (741 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
NPI status registered as active in NPPES database
Registered at 1255 LAUREL STREET, FLORENCE, OR 974390119 (Tel: 5419974015)
Registered at PO BOX 1839, FLORENCE, OR 974390119 (Tel: 5419974015)
Recorded as JACQUELINE PENDERGRASS, LPN
Licensed Practical Nurse (License #200630279LPN in OR)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
Po Box 1839
Florence, OR 974390119
Phone: 5419974015
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