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David Jonathon Willoughby, LPN
Licensed Practical Nurse in Louisville, Kentucky
NPI 1104684398

David Jonathon Willoughby is a Licensed Practical Nurse based in Eminence, KY. David Jonathon Willoughby practices in Louisville, KY and has the professional credentials of LPN. The NPI Number for David Jonathon Willoughby is 1104684398 and holds a License No. 2049631 (Kentucky).

The current practice location address for David Jonathon Willoughby is 4922 Poplar Level Rd, Louisville, KY and can be reached out via phone at 502-434-5566.

Location: 4922 Poplar Level Rd, Louisville, KY, 40019-1300
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1104684398
Provider Name
David Jonathon Willoughby
Credential
LPN
Provider Entity Type
Individual
Gender
Male
Address
4922 Poplar Level Rd, Louisville, KY, 40019-1300
Phone Number
502-434-5566
Fax Number
Provider Enumeration Date
03/12/2024
Last Update Date
04/14/2024
institution
Provider Business Practice Location Address Details
Address
4922 Poplar Level Rd
City
Louisville
State
Kentucky
Zip
40219-1128
Phone Number
502-434-5566
Fax Number
person
Provider Business Mailing Address Details
Address
4922 Poplar Level Rd
City
Louisville
State
Kentucky
Zip
40219-1128
Phone Number
502-434-5566
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
2049631 (Kentucky)
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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