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David Neal Innis, LPN,LICSW
Licensed Practical Nurse in Janesville, Wisconsin
NPI 1245540368

David Neal Innis is a Licensed Practical Nurse based in Jnaesville, WI. David Neal Innis practices in Janesville, WI and has the professional credentials of LPN,LICSW. The NPI Number for David Neal Innis is 1245540368 and holds a License No. 307611-31 (Wisconsin).

The current practice location address for David Neal Innis is 320 Park Ave, Janesville, WI and can be reached out via phone at 608-359-3357.

Location: 320 Park Ave, Janesville, WI, 53548
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1245540368
Provider Name
David Neal Innis
Credential
LPN,LICSW
Provider Entity Type
Individual
Gender
Male
Address
320 Park Ave, Janesville, WI, 53548
Phone Number
608-359-3357
Fax Number
Provider Enumeration Date
10/08/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
307611-31 01 WI LPN
institution
Provider Business Practice Location Address Details
Address
320 Park Ave
City
Janesville
State
Wisconsin
Zip
53548-4620
Phone Number
608-359-3357
Fax Number
person
Provider Business Mailing Address Details
Address
320 Park Ave
City
Janesville
State
Wisconsin
Zip
53548-4620
Phone Number
608-359-3357
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
307611-31 (Wisconsin)
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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