Individual provider · Type 1 NPI

George Woodson Gully Jr., LPN

Licensed Practical Nurse · Jackson, MS

NPI number 1003579509 Active

Practice location

1935 Lakeland Dr Ste 900
Jackson, MS 39216-5028

Call (601) 718-2468 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X338464 (MS)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1003579509

George Woodson Gully Jr., LPN's National Provider Identifier is 1003579509, issued on Oct 21, 2021. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Jackson, MS. The record was last updated on Oct 21, 2021.