Individual provider · Type 1 NPI

Larry Lenard Pearson Sr.

Registered Nurse · Ellenwood, GA

NPI number 1164655254 Active

Practice location

207 Solomon Dr
Ellenwood, GA 30294-4508

Fax (678) 759-0164

Specialties and licenses

Taxonomy	Code	License
Registered Nurse Primary	163W00000X	RN151384 (GA)

Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…

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About NPI 1164655254

Larry Lenard Pearson Sr.'s National Provider Identifier is 1164655254, issued on Aug 24, 2009. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Ellenwood, GA. The record was last updated on Aug 24, 2009.