Individual provider · Type 1 NPI

Breon Jermaine Backus Sr., LPN

Licensed Practical Nurse · Columbus, OH

NPI number 1508205576 Active

Practice location

1833 Brookfield Rd
Columbus, OH 43229-3703

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000XPN.152004-M-IV (OH)

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 1508205576

Breon Jermaine Backus Sr., LPN's National Provider Identifier is 1508205576, issued on Jun 22, 2013. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Columbus, OH. The record was last updated on Jun 22, 2013.