Individual provider · Type 1 NPI
Glenda Joann Hollis, LPN
Licensed Practical Nurse · Avera, GA
NPI number
1215326871
Active
Practice location
Sandvalley Road 10596
Avera, GA 30803
Mailing address
P.o. Box 85, Kingdom Kare & Komfort
Wrens, GA 30833
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Licensed Practical Nurse Primary | 164W00000X | LPN050212 (GA) |
| Driver | 172A00000X | 055768176 (GA) |
| Adult Companion | 372600000X | None listed |
| Home Health Aide | 374U00000X | None listed |
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.
About NPI 1215326871
Glenda Joann Hollis, LPN's National Provider Identifier is 1215326871, issued on Jan 20, 2015. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Avera, GA. The record was last updated on Jan 21, 2015.