Individual provider · Type 1 NPI

Georgia Wilson, LPN

Licensed Practical Nurse · Lower Brule, SD

NPI number 1699209775 Active

Practice location

601 Gall St.
Lower Brule, SD 57548

Fax (605) 473-0607

Mailing address

P.o. Box 187
Lower Brule, SD 57548

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000XP011717 (SD)

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.

5 other providers at this address

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About NPI 1699209775

Georgia Wilson, LPN's National Provider Identifier is 1699209775, issued on Apr 17, 2017. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Lower Brule, SD. The record was last updated on Apr 17, 2017.