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Genetta I Dallas, LPN
Licensed Practical Nurse in Lake City, Florida
NPI 1396918777

Genetta I Dallas is a Licensed Practical Nurse based in Lake City, FL. Genetta I Dallas practices in Lake City, FL and has the professional credentials of LPN. The NPI Number for Genetta I Dallas is 1396918777 and holds a License No. PN5176094 (Florida).

The current practice location address for Genetta I Dallas is 808 Nw Wilson St, Lake City, FL and can be reached out via phone at 386-292-4096.

Location: 808 Nw Wilson St, Lake City, FL, 32055-1867
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1396918777
Provider Name
Genetta I Dallas
Credential
LPN
Provider Entity Type
Individual
Gender
Female
Address
808 Nw Wilson St, Lake City, FL, 32055-1867
Phone Number
386-292-4096
Fax Number
Provider Enumeration Date
04/08/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
808 Nw Wilson St
City
Lake City
State
Florida
Zip
32055-1867
Phone Number
386-292-4096
Fax Number
person
Provider Business Mailing Address Details
Address
808 Nw Wilson St
City
Lake City
State
Florida
Zip
32055-1867
Phone Number
386-292-4096
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
PN5176094 (Florida)
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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