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Mr. George Woodson Gully JR., LPN
Licensed Practical Nurse in Jackson, Mississippi
NPI 1003579509

George Woodson Gully JR. is a Licensed Practical Nurse based in Jackson, MS. George Woodson Gully JR. practices in Jackson, MS and has the professional credentials of LPN. The NPI Number for George Woodson Gully JR. is 1003579509 and holds a License No. 338464 (Mississippi).

The current practice location address for George Woodson Gully JR. is 1935 Lakeland Dr Ste 900, Jackson, MS and can be reached out via phone at 601-718-2468.

Location: 1935 Lakeland Dr Ste 900, Jackson, MS, 39216-5028
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1003579509
Provider Name
George Woodson Gully JR.
Credential
LPN
Provider Entity Type
Individual
Gender
Male
Address
1935 Lakeland Dr Ste 900, Jackson, MS, 39216-5028
Phone Number
601-718-2468
Fax Number
Provider Enumeration Date
10/21/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1935 Lakeland Dr Ste 900
City
Jackson
State
Mississippi
Zip
39216-5028
Phone Number
601-718-2468
Fax Number
person
Provider Business Mailing Address Details
Address
1935 Lakeland Dr Ste 900
City
Jackson
State
Mississippi
Zip
39216-5028
Phone Number
601-718-2468
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
338464 (Mississippi)
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.
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