Individual provider · Type 1 NPI

Sydney Fagan, LPN

Licensed Practical Nurse · Atlanta, GA

NPI number 1962972208 Active

Practice location

2900 Chamblee Tucker Rd Bldg 16
Atlanta, GA 30341-4148

Fax (770) 212-2203

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000XPN5211231 (FL)

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 1962972208

Sydney Fagan, LPN's National Provider Identifier is 1962972208, issued on Nov 29, 2018. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Atlanta, GA. The record was last updated on Nov 29, 2018.