Individual provider · Type 1 NPI

Marie Ida Johnsonblount

Licensed Practical Nurse · Medford, OR

NPI number 1346703022 Active

Practice location

777 Murphy Rd
Medford, OR 97504-8425

Fax (541) 734-3164

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X201703975LPN (OR)

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 1346703022

Marie Ida Johnsonblount's National Provider Identifier is 1346703022, issued on Apr 10, 2019. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Medford, OR. The record was last updated on Apr 10, 2019.