Taxonomy Code 164W00000X(164w00000x)
Licensed Practical Nurse. Providers: 2

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Licensed Practical Nurse Providers

NPI Name Type Address

1932864402

Desarae Cantrell

Individual

635 W Willie Morris Pkwy

Yazoo City, MS

1710634514

Summer Brokman

Individual

635 W Willie Morris Pkwy

Yazoo City, MS

How to obtain, renew, or terminate an NPI

Every health care provider, whether it’s a hospital, pharmacy, or individual specialist, must obtain their own NPI number. This identification number is unique and is assigned upon application. In tod...

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Taxonomy Code 164W00000X
Display Name Licensed Practical Nurse
Taxonomy Group Nursing Service Providers
Taxonomy Classification Licensed Practical Nurse
Definition 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.
Effective Date September 30, 2009
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Other Taxonomy Codes

Quality Management Radiologic Technologist

2471Q0001X • providers: 2

Preventive Medicine/Occupational Environmental Medicine Physician

2083P0500X • providers: 1,421

Critical Care Medicine Nurse Practitioner

363LC0200X • providers: 1,059

Pediatric Radiology Physician

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Psychiatric Residential Treatment Facility

323P00000X • providers: 1,800

Pharmacy

333600000X • providers: 29,828

Internist Chiropractor

111NI0900X • providers: 499

Phlebology Physician

202K00000X • providers: 354

Pediatric Sleep Medicine Physician

2080S0012X • providers: 135

Sonography Radiologic Technologist

2471S1302X • providers: 792

Non-Pharmacy Dispensing Site

332900000X • providers: 3,709

Clinical Cytogenetics Physician

207SC0300X • providers: 89

Transportation Broker

347E00000X • providers: 921

Pulmonary Diagnostics Registered Respiratory Therapist

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Endoscopy Clinic/Center

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Pediatric Neurodevelopmental Disabilities Physician

2080P0008X • providers: 336

Allergy & Immunology Physician

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Intermediate Emergency Medical Technician

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Anatomic Pathology & Clinical Pathology Physician

207ZP0102X • providers: 16,998