Jessyka Quattlebaum, LPN Valid NPI
Individual provider · Licensed Practical Nurse · Fort Rucker, AL
- NPI
- 1740654334
- Type
- Individual (Type 1)
- Primary specialty
- Licensed Practical Nurse
- Specialty group
- Nursing Service Providers
- Taxonomy code
- 164W00000X
- License number
- 2-064798 (AL)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2015-11-19
- Last updated
- 2015-11-19
Practice location
Lyster Army Health Clinic, Building 301 Andrews Ave
Fort Rucker, AL 36362-5333
(334) 255-7068