Individual provider · Type 1 NPI

Kimmerley Wallace

Licensed Vocational Nurse · Hitchcock, TX

NPI number 1639738883 Active

Practice location

5722 Highway 6
Hitchcock, TX 77563-2306

Specialties and licenses

TaxonomyCodeLicense
Licensed Vocational Nurse Primary 164X00000X348779 (TX)

Licensed Vocational 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. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job re…

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About NPI 1639738883

Kimmerley Wallace's National Provider Identifier is 1639738883, issued on Jun 11, 2019. The primary taxonomy on file is Licensed Vocational Nurse (164X00000X), and the practice location is in Hitchcock, TX. The record was last updated on Jun 11, 2019.