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Samantha Nicole Kelly, LVN
Licensed Vocational Nurse in El Cajon, California
NPI 1639708191

Samantha Nicole Kelly is a Licensed Vocational Nurse based in Valley Center, CA. Samantha Nicole Kelly practices in El Cajon, CA and has the professional credentials of LVN. The NPI Number for Samantha Nicole Kelly is 1639708191 and holds a License No. (California).

The current practice location address for Samantha Nicole Kelly is 1664 Broadway, El Cajon, CA and can be reached out via phone at 619-579-8685.

Location: 1664 Broadway, El Cajon, CA, 92082-7730
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1639708191
Provider Name
Samantha Nicole Kelly
Credential
LVN
Provider Entity Type
Individual
Gender
Female
Address
1664 Broadway, El Cajon, CA, 92082-7730
Phone Number
619-579-8685
Fax Number
Provider Enumeration Date
04/06/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1664 Broadway
City
El Cajon
State
California
Zip
92021-5201
Phone Number
619-579-8685
Fax Number
person
Provider Business Mailing Address Details
Address
1664 Broadway
City
El Cajon
State
California
Zip
92021-5201
Phone Number
619-579-8685
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Vocational Nurse
Speciality
-
Taxonomy
164X00000X
License No.
684587 (California)
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. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job responsibilities vary among the states.
person
Provider's Taxonomy Details 2
Type
Agencies
Classification
Community/Behavioral Health
Speciality
-
Taxonomy
251S00000X
License No.
(California)
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
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