Individual provider · Type 1 NPI

Lacy Jae Wade

Licensed Vocational Nurse · Diboll, TX

NPI number 1669972360 Active

Practice location

3457 FM 819
Diboll, TX 75941-4707

Specialties and licenses

Taxonomy	Code	License
Licensed Vocational Nurse Primary	164X00000X	233648 (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 1669972360

Lacy Jae Wade's National Provider Identifier is 1669972360, issued on Feb 19, 2018. The primary taxonomy on file is Licensed Vocational Nurse (164X00000X), and the practice location is in Diboll, TX. The record was last updated on Feb 19, 2018.