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Mrs. Jacquelyn Ranae Roberson, LPN
Licensed Practical Nurse in Shreveport, Louisiana
NPI 1699331694

Jacquelyn Ranae Roberson is a Licensed Practical Nurse based in Shreveport, LA. Jacquelyn Ranae Roberson practices in Shreveport, LA and has the professional credentials of LPN. The NPI Number for Jacquelyn Ranae Roberson is 1699331694 and holds a License No. 20170350 (Louisiana).

The current practice location address for Jacquelyn Ranae Roberson is 3341 Youree Dr Ste 205, Shreveport, LA and can be reached out via phone at 318-219-4167.

Location: 3341 Youree Dr Ste 205, Shreveport, LA, 71105-2149
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1699331694
Provider Name
Jacquelyn Ranae Roberson
Credential
LPN
Provider Entity Type
Individual
Gender
Female
Address
3341 Youree Dr Ste 205, Shreveport, LA, 71105-2149
Phone Number
318-219-4167
Fax Number
Provider Enumeration Date
05/15/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3341 Youree Dr Ste 205
City
Shreveport
State
Louisiana
Zip
71105-2149
Phone Number
318-219-4167
Fax Number
person
Provider Business Mailing Address Details
Address
3341 Youree Dr Ste 205
City
Shreveport
State
Louisiana
Zip
71105-2149
Phone Number
318-219-4167
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
20170350 (Louisiana)
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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