Individual provider · Type 1 NPI
Ivory Wilson
Licensed Practical Nurse · Indian Orchard, MA
NPI number
1720847130
Active
Practice location
200 Fiberloid St
Indian Orchard, MA 01151-1006
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Licensed Practical Nurse Primary | 164W00000X | LN96517 (MA) |
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.
Other licensed practical nurse providers in Indian Orchard
About NPI 1720847130
Ivory Wilson's National Provider Identifier is 1720847130, issued on Mar 18, 2024. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Indian Orchard, MA. The record was last updated on Mar 18, 2024.