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Jennifer Laird Wallace
Licensed Practical Nurse in Livingston, Texas
NPI 1497249882

Jennifer Laird Wallace is a Licensed Practical Nurse based in Livingston, TX. Jennifer Laird Wallace practices in Livingston, TX. The NPI Number for Jennifer Laird Wallace is 1497249882 and holds a License No. 330403 (Texas).

The current practice location address for Jennifer Laird Wallace is 4468 Duff Rd, Livingston, TX and can be reached out via phone at 936-215-1467.

Location: 4468 Duff Rd, Livingston, TX, 77351-5627
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1497249882
Provider Name
Jennifer Laird Wallace
Credential
Provider Entity Type
Individual
Gender
Female
Address
4468 Duff Rd, Livingston, TX, 77351-5627
Phone Number
936-215-1467
Fax Number
Provider Enumeration Date
06/19/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4468 Duff Rd
City
Livingston
State
Texas
Zip
77351-5627
Phone Number
936-215-1467
Fax Number
person
Provider Business Mailing Address Details
Address
4468 Duff Rd
City
Livingston
State
Texas
Zip
77351-5627
Phone Number
936-215-1467
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
330403 (Texas)
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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