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John Parker Blalock-cornwel, LPN,CRCFA,ALCA
Licensed Practical Nurse in Goose Creek, South Carolina
NPI 1508554080

John Parker Blalock-cornwel is a Licensed Practical Nurse based in Goose Creek, SC. John Parker Blalock-cornwel practices in Goose Creek, SC and has the professional credentials of LPN,CRCFA,ALCA. The NPI Number for John Parker Blalock-cornwel is 1508554080 and holds a License No. LPN060987 (South Carolina).

The current practice location address for John Parker Blalock-cornwel is 108 Mckelvey Pl, Goose Creek, SC and can be reached out via phone at 912-341-7633. You can also correspond with John Parker Blalock-cornwel through the mailing address at 108 MCKELVEY PL, GOOSE CREEK, SC - 29445-8215 (mailing address contact number: 912-341-7633).

Location: 108 Mckelvey Pl, Goose Creek, SC, 29445-8215
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1508554080
Provider Name
John Parker Blalock-cornwel
Credential
LPN,CRCFA,ALCA
Provider Entity Type
Individual
Gender
Male
Address
108 Mckelvey Pl, Goose Creek, SC, 29445-8215
Phone Number
912-341-7633
Fax Number
Provider Enumeration Date
04/24/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
108 Mckelvey Pl
City
Goose Creek
State
South Carolina
Zip
29445-8215
Phone Number
912-341-7633
Fax Number
person
Provider Business Mailing Address Details
Address
108 Mckelvey Pl
City
Goose Creek
State
South Carolina
Zip
29445-8215
Phone Number
912-341-7633
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
LPN060987 (Georgia)
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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