Individual provider · Type 1 NPI

D'jara Lysette Davis, LPN

Licensed Practical Nurse · Middletown, OH

NPI number 1689808347 Active

Practice location

3607 Ellis Way
Middletown, OH 45044-6520

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000XPN.129816 (OH)

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 1689808347

D'jara Lysette Davis, LPN's National Provider Identifier is 1689808347, issued on May 11, 2009. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Middletown, OH. The record was last updated on May 11, 2009.