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

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X079593 (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.