Individual provider · Type 1 NPI

Latasha Dubose

Licensed Practical Nurse · Douglasville, GA

NPI number 1013431220 Active

Practice location

2930 Bluff Winds Pl
Douglasville, GA 30135-8683

Call (678) 695-3734 Map

Mailing address

8491 Hospital Dr
Douglasville, GA 30134-2412

Specialties and licenses

Taxonomy	Code	License
Licensed Practical Nurse Primary	164W00000X	LPN094202 (GA)

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 1013431220

Latasha Dubose's National Provider Identifier is 1013431220, issued on Jul 29, 2017. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Douglasville, GA. The record was last updated on Jul 29, 2017.