Individual provider · Type 1 NPI

Tara Douglas

Licensed Vocational Nurse · Tyler, TX

NPI number 1710467394 Active

Practice location

9846 Hwy 31 E
Tyler, TX 75705-2329

Specialties and licenses

Taxonomy	Code	License
Licensed Vocational Nurse Primary	164X00000X	177889 (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 1710467394

Tara Douglas's National Provider Identifier is 1710467394, issued on Aug 14, 2018. The primary taxonomy on file is Licensed Vocational Nurse (164X00000X), and the practice location is in Tyler, TX. The record was last updated on Aug 14, 2018.