Individual provider · Type 1 NPI
Dalisa Kelly Bacon
Licensed Vocational Nurse · San Antonio, TX
Practice location
7710 West I 10
San Antonio, TX 78230
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse's Aide | 376K00000X | None listed |
| Licensed Vocational Nurse Primary | 164X00000X | 1014667 (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 1063062800
Dalisa Kelly Bacon's National Provider Identifier is 1063062800, issued on Sep 13, 2019. The primary taxonomy on file is Licensed Vocational Nurse (164X00000X), and the practice location is in San Antonio, TX. The record was last updated on Nov 17, 2020.