Individual provider · Type 1 NPI
Ivy Burton
Licensed Practical Nurse · Lagrange, GA
NPI number
1629981006
Active
Practice location
126 Abbottsford Rd
Lagrange, GA 30240-7953
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Licensed Practical Nurse Primary | 164W00000X | 079593 (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 1629981006
Ivy Burton's National Provider Identifier is 1629981006, issued on Sep 25, 2026. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Lagrange, GA. The record was last updated on Sep 25, 2026.