Provider Demographics
NPI:1982161394
Name:SLAWSON, JENNIFER LIN (LPN)
Entity type:Individual
Prefix:MRS
First Name:JENNIFER
Middle Name:LIN
Last Name:SLAWSON
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 1:1024 N WATER ST
Mailing Address - Street 2:
Mailing Address - City:OWOSSO
Mailing Address - State:MI
Mailing Address - Zip Code:48867-1734
Mailing Address - Country:US
Mailing Address - Phone:989-723-8084
Mailing Address - Fax:
Practice Address - Street 1:1024 N WATER ST
Practice Address - Street 2:
Practice Address - City:OWOSSO
Practice Address - State:MI
Practice Address - Zip Code:48867-1734
Practice Address - Country:US
Practice Address - Phone:989-723-8084
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-02-22
Last Update Date:2019-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4703087646164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse