Individual provider · Type 1 NPI

Rebell Deacon

Licensed Practical Nurse · Columbus, OH

NPI number 1609659382 Active

Practice location

5891 Riverton Rd
Columbus, OH 43232-1650

Call (614) 625-3468 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X166502 (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 1609659382

Rebell Deacon's National Provider Identifier is 1609659382, issued on Aug 16, 2023. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Columbus, OH. The record was last updated on Aug 16, 2023.