Individual provider · Type 1 NPI

Jason Dale Ryburn

Licensed Practical Nurse · Little Rock, AR

NPI number 1497361182 Active

Practice location

4300 W 7th St
Little Rock, AR 72205-5446

Mailing address

901 Highway 88
Lonsdale, AR 72087-9670

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000XL051729 (AR)

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 1497361182

Jason Dale Ryburn's National Provider Identifier is 1497361182, issued on Sep 18, 2020. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Little Rock, AR. The record was last updated on Sep 18, 2020.