Individual provider · Type 1 NPI
Tiffany A. Wilson, LVN
Licensed Practical Nurse · Waco, TX
NPI number
1225660798
Active
Practice location
4800 Memorial Dr
Waco, TX 76711-1329
Mailing address
3925 Richfield Ave
Waco, TX 76707-1659
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Licensed Practical Nurse Primary | 164W00000X | 202615 (TX) |
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 1225660798
Tiffany A. Wilson, LVN's National Provider Identifier is 1225660798, issued on Feb 12, 2020. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Waco, TX. The record was last updated on Feb 12, 2020.