Individual provider · Type 1 NPI

John Adam Broussard Jr., LVN

Licensed Vocational Nurse · Rancho Cordova, CA

NPI number 1023864618 Active

Practice location

10089 Folsom Blvd Ste A
Rancho Cordova, CA 95670-1935

Call (916) 366-6531 Map

Mailing address

5105 Heather Ranch Way
Rancho Cordova, CA 95742-8180

Specialties and licenses

TaxonomyCodeLicense
Licensed Vocational Nurse Primary 164X00000XVN150240 (CA)

Licensed Vocational 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. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job re…

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About NPI 1023864618

John Adam Broussard Jr., LVN's National Provider Identifier is 1023864618, issued on Apr 25, 2024. The primary taxonomy on file is Licensed Vocational Nurse (164X00000X), and the practice location is in Rancho Cordova, CA. The record was last updated on Apr 25, 2024.