Individual provider · Type 1 NPI

Jack Bibeau

Licensed Practical Nurse · Reno, NV

NPI number 1780412122 Active

Practice location

10345 Professional Cir
Reno, NV 89521-5862

Mailing address

2406 Prater Way
Sparks, NV 89431-4122

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000XLPN10455 (NV)

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 1780412122

Jack Bibeau's National Provider Identifier is 1780412122, issued on Jul 25, 2024. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Reno, NV. The record was last updated on Jul 25, 2024.