Individual provider · Type 1 NPI

Lavorne Blyden-Green

Licensed Practical Nurse · Jonesboro, GA

NPI number 1346545662 Active

Practice location

7733 Town Ct
Jonesboro, GA 30236-2395

Call (404) 781-8166 Map

Mailing address

PO Box 2312
Jonesboro, GA 30237-2312

Specialties and licenses

Taxonomy	Code	License
Durable Medical Equipment & Medical Supplies	332B00000X	None listed
Customized Equipment (DME)	332BC3200X	None listed
Oxygen Equipment & Supplies (DME)	332BX2000X	None listed
Prosthetic/Orthotic Supplier	335E00000X	None listed
Licensed Practical Nurse Primary	164W00000X	346089-01 (NY)
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier	335V00000X	None listed
Licensed Practical Nurse	164W00000X	PN5264319 (FL)
Dialysis Equipment & Supplies (DME)	332BD1200X	None listed
Home Delivered Meals	332U00000X	None listed
Nursing Facility Supplies (DME)	332BN1400X	None listed
Non-Pharmacy Dispensing Site	332900000X	None listed
Parenteral & Enteral Nutrition Supplies (DME)	332BP3500X	None listed

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 1346545662

Lavorne Blyden-Green's National Provider Identifier is 1346545662, issued on Jan 18, 2011. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Jonesboro, GA. The record was last updated on May 29, 2026.