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Deaudra Pulliam, LPN
Licensed Practical Nurse in Louisville, Kentucky
NPI 1447016373

Deaudra Pulliam is a Licensed Practical Nurse based in Louisville, KY. Deaudra Pulliam practices in Louisville, KY and has the professional credentials of LPN. The NPI Number for Deaudra Pulliam is 1447016373 and holds a License No. 94689 (Kentucky).

The current practice location address for Deaudra Pulliam is 4157 Hale Ave, Louisville, KY and can be reached out via phone at 615-497-6906.

Location: 4157 Hale Ave, Louisville, KY, 40211-2557
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1447016373
Provider Name
Deaudra Pulliam
Credential
LPN
Provider Entity Type
Individual
Gender
Female
Address
4157 Hale Ave, Louisville, KY, 40211-2557
Phone Number
615-497-6906
Fax Number
Provider Enumeration Date
02/27/2024
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
4157 Hale Ave
City
Louisville
State
Kentucky
Zip
40211-2557
Phone Number
615-497-6906
Fax Number
person
Provider Business Mailing Address Details
Address
4157 Hale Ave
City
Louisville
State
Kentucky
Zip
40211-2557
Phone Number
615-497-6906
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
94689 (Tennessee)
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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