Individual
JODI LOUISE ACKLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8 FAUCETTE CT, MC KEAN, PA 16426-1316
(814) 449-8074
Mailing address
8 FAUCETTE CT, MC KEAN, PA 16426-1316
(814) 449-8074
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN280592
PA
Other
Enumeration date
10/11/2011
Last updated
10/11/2011
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