Individual provider · Type 1 NPI

Georgina Idjagboro

Licensed Vocational Nurse · Richmond, TX

NPI number 1215565254 Active

Practice location

19400 W Bellfort St Apt 5304
Richmond, TX 77407-8215

Mailing address

1155 Dairy Ashford Rd Ste 560
Houston, TX 77079-3035

Specialties and licenses

TaxonomyCodeLicense
Licensed Vocational Nurse Primary 164X00000X350268 (TX)

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 1215565254

Georgina Idjagboro's National Provider Identifier is 1215565254, issued on Mar 27, 2020. The primary taxonomy on file is Licensed Vocational Nurse (164X00000X), and the practice location is in Richmond, TX. The record was last updated on Mar 27, 2020.