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Deatrice Lavonna Black, LPN
Licensed Practical Nurse in Joliet, Illinois
NPI 1215448352

Deatrice Lavonna Black is a Licensed Practical Nurse based in Joliet, IL. Deatrice Lavonna Black practices in Joliet, IL and has the professional credentials of LPN. The NPI Number for Deatrice Lavonna Black is 1215448352 and holds a License No. 043117036 (Illinois).

The current practice location address for Deatrice Lavonna Black is 503 Bellarmine Dr E Apt 7, Joliet, IL and can be reached out via phone at 815-456-9757.

Location: 503 Bellarmine Dr E Apt 7, Joliet, IL, 60436-1838
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1215448352
Provider Name
Deatrice Lavonna Black
Credential
LPN
Provider Entity Type
Individual
Gender
Female
Address
503 Bellarmine Dr E Apt 7, Joliet, IL, 60436-1838
Phone Number
815-456-9757
Fax Number
Provider Enumeration Date
10/16/2017
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
503 Bellarmine Dr E Apt 7
City
Joliet
State
Illinois
Zip
60436-1838
Phone Number
815-456-9757
Fax Number
person
Provider Business Mailing Address Details
Address
503 Bellarmine Dr E Apt 7
City
Joliet
State
Illinois
Zip
60436-1838
Phone Number
815-456-9757
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
043117036 (Illinois)
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.
person
Provider's Taxonomy Details 2
Type
Nursing Service Providers
Classification
Licensed Vocational Nurse
Speciality
-
Taxonomy
164X00000X
License No.
043117036 (Illinois)
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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