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Mr. Jacob Dean Fuller, LPN
Licensed Practical Nurse in Springfield, Oregon
NPI 1720423536

Jacob Dean Fuller is a Licensed Practical Nurse based in Springfield, OR. Jacob Dean Fuller practices in Springfield, OR and has the professional credentials of LPN. The NPI Number for Jacob Dean Fuller is 1720423536 and holds a License No. 201230678LPN (Oregon).

The current practice location address for Jacob Dean Fuller is 3333 Riverbend Dr, Springfield, OR and can be reached out via phone at 877-350-7430.

Location: 3333 Riverbend Dr, Springfield, OR, 97478-5789
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1720423536
Provider Name
Jacob Dean Fuller
Credential
LPN
Provider Entity Type
Individual
Gender
Male
Address
3333 Riverbend Dr, Springfield, OR, 97478-5789
Phone Number
877-350-7430
Fax Number
Provider Enumeration Date
05/07/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3333 Riverbend Dr
City
Springfield
State
Oregon
Zip
97477-8800
Phone Number
877-350-7430
Fax Number
person
Provider Business Mailing Address Details
Address
3333 Riverbend Dr
City
Springfield
State
Oregon
Zip
97477-8800
Phone Number
877-350-7430
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
201230678LPN (Oregon)
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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