Individual provider · Type 1 NPI

Deatrice Lavonna Black, LPN

Licensed Vocational Nurse · Joliet, IL

NPI number 1215448352 Active

Practice location

503 Bellarmine Dr E Apt 7
Joliet, IL 60436-1838

Specialties and licenses

TaxonomyCodeLicense
Licensed Vocational Nurse Primary 164X00000X043117036 (IL)
Licensed Practical Nurse 164W00000X043117036 (IL)

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…

About NPI 1215448352

Deatrice Lavonna Black, LPN's National Provider Identifier is 1215448352, issued on Oct 16, 2017. The primary taxonomy on file is Licensed Vocational Nurse (164X00000X), and the practice location is in Joliet, IL. The record was last updated on Oct 16, 2017.