Individual provider · Type 1 NPI

Jesse Tommy Addington, LVN

Licensed Vocational Nurse · Ukiah, CA

NPI number 1306416136 Active

Practice location

1120 S Dora St
Ukiah, CA 95482-6340

Fax (707) 472-2714

Specialties and licenses

TaxonomyCodeLicense
Licensed Vocational Nurse Primary 164X00000X698588 (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 1306416136

Jesse Tommy Addington, LVN's National Provider Identifier is 1306416136, issued on Jun 24, 2021. The primary taxonomy on file is Licensed Vocational Nurse (164X00000X), and the practice location is in Ukiah, CA. The record was last updated on Jun 24, 2021.