Individual provider · Type 1 NPI

Jimmy Mack Im

Licensed Vocational Nurse · San Gabriel, CA

NPI number 1962876847 Active

Practice location

4938 N Muscatel Ave
San Gabriel, CA 91776-2142

Specialties and licenses

TaxonomyCodeLicense
Licensed Vocational Nurse Primary 164X00000X292252 (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 1962876847

Jimmy Mack Im's National Provider Identifier is 1962876847, issued on Nov 16, 2015. The primary taxonomy on file is Licensed Vocational Nurse (164X00000X), and the practice location is in San Gabriel, CA. The record was last updated on Nov 16, 2015.