Provider Demographics
NPI:1861983801
Name:SKEENS, LYNNETTE KAY (LPN)
Entity type:Individual
Prefix:
First Name:LYNNETTE
Middle Name:KAY
Last Name:SKEENS
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:78 S WATT ST
Mailing Address - Street 2:
Mailing Address - City:CHILLICOTHE
Mailing Address - State:OH
Mailing Address - Zip Code:45601-3571
Mailing Address - Country:US
Mailing Address - Phone:740-703-9104
Mailing Address - Fax:
Practice Address - Street 1:78 S WATT ST
Practice Address - Street 2:
Practice Address - City:CHILLICOTHE
Practice Address - State:OH
Practice Address - Zip Code:45601-3571
Practice Address - Country:US
Practice Address - Phone:740-703-9104
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-05-25
Last Update Date:2018-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPN161771164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse