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Keandra Moore Mcintosh
Licensed Vocational Nurse in Jefferson, Texas
NPI 1124508577

Keandra Moore Mcintosh is a Licensed Vocational Nurse based in Jefferson, TX. Keandra Moore Mcintosh practices in Jefferson, TX. The NPI Number for Keandra Moore Mcintosh is 1124508577 and holds a License No. 185367 (Texas).

The current practice location address for Keandra Moore Mcintosh is 120 N Walnut St, Jefferson, TX and can be reached out via phone at 903-665-6131.

Location: 120 N Walnut St, Jefferson, TX, 75657-0901
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1124508577
Provider Name
Keandra Moore Mcintosh
Credential
Provider Entity Type
Individual
Gender
Female
Address
120 N Walnut St, Jefferson, TX, 75657-0901
Phone Number
903-665-6131
Fax Number
Provider Enumeration Date
08/15/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
120 N Walnut St
City
Jefferson
State
Texas
Zip
75657-1934
Phone Number
903-665-6131
Fax Number
person
Provider Business Mailing Address Details
Address
120 N Walnut St
City
Jefferson
State
Texas
Zip
75657-1934
Phone Number
903-665-6131
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Vocational Nurse
Speciality
-
Taxonomy
164X00000X
License No.
185367 (Texas)
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. [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 responsibilities vary among the states.
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