Individual
JACKLYN ELIZABETH HOMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
367 PINE ST, SPRINGFIELD, MA 01105-1930
(413) 737-1426
(413) 739-9988
Mailing address
367 PINE ST, SPRINGFIELD, MA 01105-1930
(413) 737-1426
(413) 739-9988
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LN56303
MA
Other
Enumeration date
01/25/2023
Last updated
01/25/2023
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