Individual provider · Type 1 NPI
Shane Gay
Licensed Practical Nurse · Columbus, GA
NPI number
1013573609
Active
Practice location
2100 Comer Ave
Columbus, GA 31904-8725
Mailing address
107 Lincoln Ln
Lagrange, GA 30240-8709
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Licensed Practical Nurse Primary | 164W00000X | LPN072762 (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 1013573609
Shane Gay's National Provider Identifier is 1013573609, issued on May 20, 2019. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Columbus, GA. The record was last updated on May 20, 2019.