Individual provider · Type 1 NPI
Jody Fonseca
Licensed Practical Nurse · Louisville, KY
Practice location
708 Magazine St
Louisville, KY 40203-2043
Fax (502) 589-8771
Mailing address
101 W. Muhammad Ali Blvd
Louisville, KY 40202-1451
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Licensed Practical Nurse Primary | 164W00000X | 2032302 (KY) |
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 1891005955
Jody Fonseca's National Provider Identifier is 1891005955, issued on Oct 7, 2010. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Louisville, KY. The record was last updated on May 29, 2014.