Individual provider · Type 1 NPI

Taylor Rae Deberry, LPN

Licensed Practical Nurse · Kennett, MO

NPI number 1174010995 Active

Practice location

925 Highway V V
Kennett, MO 63857

Call (573) 888-5925 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X2014027883 (MO)

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 1174010995

Taylor Rae Deberry, LPN's National Provider Identifier is 1174010995, issued on Apr 17, 2018. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Kennett, MO. The record was last updated on May 15, 2024.