| Mr Jacqueline Sue Perdue-dorathy, LPN | |
|
550 Pope Ave, Fort Leavenworth, KS 66027-2332 | |
| (913) 681-6170 | |
| Not Available |
| Full Name | Mr Jacqueline Sue Perdue-dorathy |
|---|---|
| Gender | Female |
| Speciality | Licensed Practical Nurse |
| Location | 550 Pope Ave, Fort Leavenworth, Kansas |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285854828 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | 23-27018-081 (Kansas) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Jacqueline Sue Perdue-dorathy, LPN 19445 Countryside Cir, Weston, MO 64098-9127 Ph: (913) 684-6170 | Mr Jacqueline Sue Perdue-dorathy, LPN 550 Pope Ave, Fort Leavenworth, KS 66027-2332 Ph: (913) 681-6170 |
Mrs. Lilly Rose Johnson, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 550 Pope Ave, Fort Leavenworth, KS 66027 Phone: 913-684-6671 | |
Holly Denise Robinson, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 550 Pope Ave, Munson Army Health Center (attn: Mcxn-cod, Ms. Cotton), Fort Leavenworth, KS 66027 Phone: 913-684-6562 Fax: 913-684-6208 | |
Mrs. Kristie Michelle Grenier, L.P.N. Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 550 Pope Ave, Fort Leavenworth, KS 66027 Phone: 913-684-6562 Fax: 913-684-6208 | |
Ms. Jennifer Marlene Diggs, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 550 Pope Ave, Fort Leavenworth, KS 66027 Phone: 913-684-6562 | |
Mrs. Sherry Blakney-johnson, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 550 Pope Avenue, United States Army Medical Department Activity, Fort Leavenworth, KS 66027 Phone: 999-999-9999 | |
Jamie Lynn Kasten, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 505 Pope Ave, Munson Army Health Center (attn: Mcxn-cod, Mr. Kennedy, Fort Leavenworth, KS 66027 Phone: 913-684-6143 Fax: 913-684-6208 |