Jessika Lynn Oldham, LPN Valid NPI
Individual provider · Licensed Practical Nurse · Fort Rucker, AL
- NPI
- 1518634047
- Type
- Individual (Type 1)
- Primary specialty
- Licensed Practical Nurse
- Specialty group
- Nursing Service Providers
- Taxonomy code
- 164W00000X
- License number
- PN.0330879 (CO)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2021-08-24
- Last updated
- 2021-08-24
Practice location
301 Andrews Avenue
Fort Rucker, AL 36362
(503) 507-3664