Individual provider · Type 1 NPI

Johnny Ray Fuller, LVN

Licensed Vocational Nurse · Center, TX

NPI number 1306346184 Active

Practice location

131 County Road 3102
Center, TX 75935-5581

Call (936) 591-9885 Map

Mailing address

364 County Road 1165
Center, TX 75935-6930

Specialties and licenses

Taxonomy	Code	License
Licensed Vocational Nurse Primary	164X00000X	206588 (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 1306346184

Johnny Ray Fuller, LVN's National Provider Identifier is 1306346184, issued on Feb 18, 2018. The primary taxonomy on file is Licensed Vocational Nurse (164X00000X), and the practice location is in Center, TX. The record was last updated on Feb 18, 2018.