Mr Jacqueline Sue Perdue-dorathy, LPN - Licensed Practical Nurse in Fort Leavenworth, KS

Mr Jacqueline Sue Perdue-dorathy, LPN is a Licensed Practical Nurse based in Fort Leavenworth, Kansas. Mr Jacqueline Sue Perdue-dorathy is licensed to practice in Kansas (license number 23-27018-081) and her current practice location is 550 Pope Ave, Fort Leavenworth, Kansas. She can be reached at her office (for appointments etc.) via phone at (913) 681-6170.

NPI number for Mr Jacqueline Sue Perdue-dorathy is 1285854828 and her current mailing address is 19445 Countryside Cir, Weston, Missouri. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1285854828.

Contact Information

Mr Jacqueline Sue Perdue-dorathy, LPN
550 Pope Ave,
Fort Leavenworth, KS 66027-2332
(913) 681-6170
Not Available



Provider's Profile

Full NameMr Jacqueline Sue Perdue-dorathy
GenderFemale
SpecialityLicensed Practical Nurse
Location550 Pope Ave, Fort Leavenworth, Kansas
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1285854828
  • Provider Enumeration Date: 04/26/2007
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Mr Jacqueline Sue Perdue-dorathy such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1285854828NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
164W00000XLicensed Practical Nurse 23-27018-081 (Kansas)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Jacqueline Sue Perdue-dorathy is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mr Jacqueline Sue Perdue-dorathy, LPN
19445 Countryside Cir,
Weston, MO 64098-9127

Ph: (913) 684-6170
Mr Jacqueline Sue Perdue-dorathy, LPN
550 Pope Ave,
Fort Leavenworth, KS 66027-2332

Ph: (913) 681-6170

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› Verified 8 days ago


Licensed Practical Nurse Nurses in Fort Leavenworth, KS

Mrs. Lilly Rose Johnson, LPN
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 550 Pope Ave, Fort Leavenworth, KS 66027
Phone: 913-684-6671    
Holly Denise Robinson,
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 550 Pope Ave, Munson Army Health Center (attn: Mcxn-cod, Ms. Cotton), Fort Leavenworth, KS 66027
Phone: 913-684-6562    Fax: 913-684-6208
Mrs. Kristie Michelle Grenier, L.P.N.
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 550 Pope Ave, Fort Leavenworth, KS 66027
Phone: 913-684-6562    Fax: 913-684-6208
Ms. Jennifer Marlene Diggs, LPN
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 550 Pope Ave, Fort Leavenworth, KS 66027
Phone: 913-684-6562    
Ms. Susan Dawn Landers, LPN
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 550 Pope Ave., Munson Army Health Center Attn: Mcxn-cod, Mr. Kennedy, Fort Leavenworth, KS 66027
Phone: 913-684-6143    Fax: 913-684-6208
Mrs. Sherry Blakney-johnson, LPN
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 550 Pope Avenue, United States Army Medical Department Activity, Fort Leavenworth, KS 66027
Phone: 999-999-9999    

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