Individual provider · Type 1 NPI
Paulette Bohannon, SA-C
Licensed Practical Nurse · Rowlett, TX
NPI number
1720411531
Active
Practice location
1901 Miller Rd
Rowlett, TX 75088-5604
Fax (214) 764-0880
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Licensed Practical Nurse Primary | 164W00000X | 13333 (FL) |
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 1720411531
Paulette Bohannon, SA-C's National Provider Identifier is 1720411531, issued on Aug 15, 2013. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Rowlett, TX. The record was last updated on Aug 15, 2013.