Individual provider · Type 1 NPI

David Jonathon Willoughby, LPN

Licensed Practical Nurse · Louisville, KY

NPI number 1104684398 Active

Practice location

4922 Poplar Level Rd
Louisville, KY 40219-1128

Mailing address

30 Carroll Ave
Eminence, KY 40019-1300

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X2049631 (KY)

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 1104684398

David Jonathon Willoughby, LPN's National Provider Identifier is 1104684398, issued on Mar 12, 2024. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Louisville, KY. The record was last updated on Mar 12, 2024.