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Jesse Tommy Addington, LVN
Licensed Vocational Nurse in Ukiah, California
NPI 1306416136

Jesse Tommy Addington is a Licensed Vocational Nurse based in Ukiah, CA. Jesse Tommy Addington practices in Ukiah, CA and has the professional credentials of LVN. The NPI Number for Jesse Tommy Addington is 1306416136 and holds a License No. 698588 (California).

The current practice location address for Jesse Tommy Addington is 1120 S Dora St, Ukiah, CA and can be reached out via phone at 707-472-2600 and via fax at 707-472-2714.

Location: 1120 S Dora St, Ukiah, CA, 95482-6340
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1306416136
Provider Name
Jesse Tommy Addington
Credential
LVN
Provider Entity Type
Individual
Gender
Male
Address
1120 S Dora St, Ukiah, CA, 95482-6340
Phone Number
707-472-2600
Fax Number
707-472-2714
Provider Enumeration Date
06/24/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1120 S Dora St
City
Ukiah
State
California
Zip
95482-6340
Phone Number
707-472-2600
Fax Number
707-472-2714
person
Provider Business Mailing Address Details
Address
1120 S Dora St
City
Ukiah
State
California
Zip
95482-6340
Phone Number
707-472-2600
Fax Number
707-472-2714
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Vocational Nurse
Speciality
-
Taxonomy
164X00000X
License No.
698588 (California)
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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