Individual provider · Type 1 NPI
Jodivon Lee Fairclough, LVN
Licensed Vocational Nurse · View Park, CA
Practice location
5300 Angeles Vista Blvd
View Park, CA 90043-1648
Mailing address
512 Grace Ave Apt 1
Inglewood, CA 90301-1339
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Licensed Vocational Nurse Primary | 164X00000X | VN716238 (CA) |
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 1801463393
Jodivon Lee Fairclough, LVN's National Provider Identifier is 1801463393, issued on Jun 4, 2021. The primary taxonomy on file is Licensed Vocational Nurse (164X00000X), and the practice location is in View Park, CA. The record was last updated on Jun 4, 2021.