Individual provider · Type 1 NPI

Ivan Lionel Pickle Jr., LPN

Licensed Practical Nurse · Johnson City, TN

NPI number 1891239349 Active

Practice location

400 N State Of Franklin Rd
Johnson City, TN 37604-6035

Fax (423) 431-6370

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X32270 (TN)

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 1891239349

Ivan Lionel Pickle Jr., LPN's National Provider Identifier is 1891239349, issued on Dec 16, 2016. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Johnson City, TN. The record was last updated on Dec 16, 2016.