Secretary of State
Board of Nursing
JENNIFER MARIE BASNAW
Nursing - Licensed Practical Nurse
License number
PN5171932
Date granted
04/06/2006
Date expires
07/31/2017
Class
Nursing - Licensed Practical Nurse
Status
Active
Address
1218 BRICKYARD RD CHIPLEY,FL32428 UNITED STATES
nursingflorida.org
ID 31974235
LAST UPDATED 2026-05-25 03:10:12 UTC
LAST UPDATED 2026-05-25 03:10:12 UTC
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