Individual provider · Type 1 NPI

Bennie Gordon Jr.

Licensed Vocational Nurse · Colton, CA

NPI number 1104097823 Active

Practice location

400 N Pepper Ave
Colton, CA 92324-1801

Specialties and licenses

TaxonomyCodeLicense
Licensed Vocational Nurse Primary 164X00000X176537 (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 1104097823

Bennie Gordon Jr.'s National Provider Identifier is 1104097823, issued on Mar 20, 2008. The primary taxonomy on file is Licensed Vocational Nurse (164X00000X), and the practice location is in Colton, CA. The record was last updated on Mar 20, 2008.