Individual provider · Type 1 NPI

Zackary James Ladyman

Licensed Practical Nurse · Poplar Bluff, MO

NPI number 1639708233 Active

Practice location

3001 Warrior Ln
Poplar Bluff, MO 63901-8685

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X2011011533 (MO)

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 1639708233

Zackary James Ladyman's National Provider Identifier is 1639708233, issued on Apr 6, 2020. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Poplar Bluff, MO. The record was last updated on Apr 6, 2020.