Individual provider · Type 1 NPI
Johnny Gervais, LPN
Licensed Practical Nurse · Brentwood, NY
NPI number
1881986784
Active
Practice location
216 Grand Blvd
Brentwood, NY 11717-5913
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Licensed Practical Nurse Primary | 164W00000X | 304534-1 (NY) |
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 1881986784
Johnny Gervais, LPN's National Provider Identifier is 1881986784, issued on May 10, 2011. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Brentwood, NY. The record was last updated on May 10, 2011.