Individual provider · Type 1 NPI

Johnetta Marie Davidson

Licensed Practical Nurse · Savannah, GA

NPI number 1053862797 Active

Practice location

308 Commercial Dr, Suite 100
Savannah, GA 31406-3684

Call (912) 352-2425 Map

Fax (912) 352-4436

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000XLPN073348 (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 1053862797

Johnetta Marie Davidson's National Provider Identifier is 1053862797, issued on Oct 18, 2016. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Savannah, GA. The record was last updated on Oct 18, 2016.