Individual provider · Type 1 NPI

Demeshia Wagoner

Licensed Vocational Nurse · Tyler, TX

NPI number 1760965248 Active

Practice location

9846 Hwy 31 E
Tyler, TX 75705-2329

Specialties and licenses

Taxonomy	Code	License
Licensed Vocational Nurse Primary	164X00000X	324060 (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 1760965248

Demeshia Wagoner's National Provider Identifier is 1760965248, issued on Sep 11, 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 Sep 11, 2018.