Individual provider · Type 1 NPI

Delores Davis, LVN

Licensed Vocational Nurse · Antioch, CA

NPI number 1235099847 Active

Practice location

3707 Sunset Ln
Antioch, CA 94509-6101

Specialties and licenses

TaxonomyCodeLicense
Licensed Vocational Nurse Primary 164X00000X727242 (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 1235099847

Delores Davis, LVN's National Provider Identifier is 1235099847, issued on Nov 15, 2025. The primary taxonomy on file is Licensed Vocational Nurse (164X00000X), and the practice location is in Antioch, CA. The record was last updated on Nov 15, 2025.