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Mrs. Brenda Marie Black, LPN
Licensed Practical Nurse in Reidsville, Georgia
NPI 1518122563

Brenda Marie Black is a Licensed Practical Nurse based in Reidsville, GA. Brenda Marie Black practices in Reidsville, GA and has the professional credentials of LPN. The NPI Number for Brenda Marie Black is 1518122563 and holds a License No. LPN051788 (Georgia).

The current practice location address for Brenda Marie Black is 150 Memorial Drive, Reidsville, GA and can be reached out via phone at 912-557-6794 and via fax at 912-557-6817.

Location: 150 Memorial Drive, Reidsville, GA, 30453-0818
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1518122563
Provider Name
Brenda Marie Black
Credential
LPN
Provider Entity Type
Individual
Gender
Female
Address
150 Memorial Drive, Reidsville, GA, 30453-0818
Phone Number
912-557-6794
Fax Number
912-557-6817
Provider Enumeration Date
07/18/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
150 Memorial Drive
City
Reidsville
State
Georgia
Zip
30453
Phone Number
912-557-6794
Fax Number
912-557-6817
person
Provider Business Mailing Address Details
Address
150 Memorial Drive
City
Reidsville
State
Georgia
Zip
30453
Phone Number
912-557-6794
Fax Number
912-557-6817
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
LPN051788 (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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