Individual provider · Type 1 NPI

Johneshia Gagum-Wilson, LPN

Licensed Practical Nurse · New Haven, CT

NPI number 1285047324 Active

Practice location

1 Long Wharf Dr
New Haven, CT 06511-5991

Call (203) 781-4600 Map

Fax (203) 781-4624

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X038725 (CT)

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 1285047324

Johneshia Gagum-Wilson, LPN's National Provider Identifier is 1285047324, issued on Jun 6, 2014. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in New Haven, CT. The record was last updated on Jun 6, 2014.