National Provider Identifier

Jennifer Lynn Reddout, LPN

Jennifer Lynn Reddout, LPN is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Henrietta, NY and a listed phone number of (585) 503-6101.

NPI 1093045171Henrietta, NYLicensed Practical Nurse

Profile Overview

NPI
1093045171
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
January 12, 2010
Last Updated
January 12, 2010

Practice Location

  • 5093 E Henrietta RD
  • Henrietta, NY 14467-8941

Phone: (585) 503-6101

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1093045171
Entity Type
Individual
Last Name
Reddout
First Name
Jennifer
Middle Name
Lynn
Name Prefix
Mrs.
Credential
LPN
Provider Other Last Name
Copeland
Provider Other First Name
Jennifer
Provider Other Middle Name
Lynn
Provider Other Name Prefix Text
Mrs.
Provider Other Credential Text
LPN
Provider Other Last Name Type Code
1
Mailing Street Address
5093 E Henrietta RD
Mailing City
Henrietta
Mailing State
NY
Mailing ZIP Code
14467-8941
Mailing Country
US
Mailing Phone
(585) 503-6101
Practice Street Address
5093 E Henrietta RD
Practice City
Henrietta
Practice State
NY
Practice ZIP Code
14467-8941
Practice Country
US
Practice Phone
(585) 503-6101
Enumeration Date
January 12, 2010
Last Updated
January 12, 2010
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)