Individual provider · Type 1 NPI

Korah Crockett, LVN

Licensed Vocational Nurse · Malakoff, TX

NPI number 1114401247 Active

Practice location

3801 State Highway 198 Apt 127
Malakoff, TX 75148-4988

Specialties and licenses

TaxonomyCodeLicense
Licensed Vocational Nurse Primary 164X00000X345233 (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 1114401247

Korah Crockett, LVN's National Provider Identifier is 1114401247, issued on Sep 25, 2018. The primary taxonomy on file is Licensed Vocational Nurse (164X00000X), and the practice location is in Malakoff, TX. The record was last updated on Sep 25, 2018.