Individual provider · Type 1 NPI

Jacob Dean Fuller, LPN

Licensed Practical Nurse · Springfield, OR

NPI number 1720423536 Active

Practice location

3333 Riverbend Dr
Springfield, OR 97477-8800

Call (877) 350-7430 Map

Mailing address

585 36th St
Springfield, OR 97478-5789

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X201230678LPN (OR)
Licensed Practical Nurse 164W00000X28704 (WV)

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.

186 other providers at this address

Other licensed practical nurse providers in Springfield

See all in Springfield →

About NPI 1720423536

Jacob Dean Fuller, LPN's National Provider Identifier is 1720423536, issued on May 7, 2013. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Springfield, OR. The record was last updated on May 7, 2013.