MEDICARE: JADE MARIE MERCER LPN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	164W00000X	Licensed Practical Nurse	LPN.150650-MEDS-IV	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1992661789
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JADE MARIE MERCER LPN

Provider Business Mailing Address
First Line	:	45651 TOWNSHIP ROAD 285
Second Line	:
City	:	COSHOCTON
State	:	OH
Zip	:	43812-9157
Country	:	US
Telephone Number	:	740-610-8984
Fax Number	:

Provider Business Practice Location Address
First Line	:	809 COSHOCTON AVE STE 1
Second Line	:
City	:	MOUNT VERNON
State	:	OH
Zip	:	43050-1900
Country	:	US
Telephone Number	:	866-534-2639
Fax Number	:	800-534-2639

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/24/2025
Last Update Date	:	02/13/2026

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Directions to “ JADE MARIE MERCER LPN” Practice Location

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