Individual provider · Type 1 NPI
Jennifer Mingboupha, LVN
Licensed Practical Nurse · Lindale, TX
NPI number
1043829336
Active
Practice location
509 Molly Ln
Lindale, TX 75771-6537
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Licensed Practical Nurse Primary | 164W00000X | 351888 (TX) |
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.
About NPI 1043829336
Jennifer Mingboupha, LVN's National Provider Identifier is 1043829336, issued on Jul 23, 2020. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Lindale, TX. The record was last updated on Jul 23, 2020.