Individual provider · Type 1 NPI

Kentrece Moss, LPN

Licensed Practical Nurse · Warner Robins, GA

NPI number 1366098147 Active

Practice location

940 Ga Highway 96 Ste A
Warner Robins, GA 31088-2587

Call (478) 988-7100 Map

Mailing address

1501 US Highway 19 S
Leesburg, GA 31763-4915

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000XLPN096075 (GA)

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 1366098147

Kentrece Moss, LPN's National Provider Identifier is 1366098147, issued on Aug 16, 2019. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Warner Robins, GA. The record was last updated on Aug 16, 2019.