Individual provider · Type 1 NPI

Jenelle Im

Licensed Vocational Nurse · Fairfield, CA

NPI number 1194573402 Active

Practice location

2101 Courage Dr
Fairfield, CA 94533-6717

Call (707) 428-1131 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Vocational Nurse Primary 164X00000X686758 (CA)

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 1194573402

Jenelle Im's National Provider Identifier is 1194573402, issued on May 10, 2024. The primary taxonomy on file is Licensed Vocational Nurse (164X00000X), and the practice location is in Fairfield, CA. The record was last updated on May 10, 2024.