Individual provider · Type 1 NPI
Cathy Lee Hearn
Licensed Practical Nurse · Vicksburg, MS
NPI number
1114889938
Active
Practice location
3440 Wisconsin Ave
Vicksburg, MS 39180-5331
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Licensed Practical Nurse Primary | 164W00000X | 341095 (MS) |
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 1114889938
Cathy Lee Hearn's National Provider Identifier is 1114889938, issued on Dec 1, 2025. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Vicksburg, MS. The record was last updated on Dec 1, 2025.