Individual provider · Type 1 NPI

Detricia Nicole McKinley

Licensed Vocational Nurse · Jefferson, TX

NPI number 1043795198 Active

Practice location

120 N Walnut St
Jefferson, TX 75657-1934

Call (903) 665-6131 Map

Mailing address

PO Box 901
Jefferson, TX 75657-0901

Specialties and licenses

Taxonomy	Code	License
Licensed Vocational Nurse Primary	164X00000X	330378 (TX)

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 1043795198

Detricia Nicole McKinley's National Provider Identifier is 1043795198, issued on Sep 25, 2018. The primary taxonomy on file is Licensed Vocational Nurse (164X00000X), and the practice location is in Jefferson, TX. The record was last updated on Sep 25, 2018.