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Ivan Lionel Pickle JR., LPN
Licensed Practical Nurse in Johnson City, Tennessee
NPI 1891239349

Ivan Lionel Pickle JR. is a Licensed Practical Nurse based in Johnson City, TN. Ivan Lionel Pickle JR. practices in Johnson City, TN and has the professional credentials of LPN. The NPI Number for Ivan Lionel Pickle JR. is 1891239349 and holds a License No. 32270 (Tennessee).

The current practice location address for Ivan Lionel Pickle JR. is 400 N State Of Franklin Rd, Johnson City, TN and can be reached out via phone at 423-431-1410 and via fax at 423-431-6370.

Location: 400 N State Of Franklin Rd, Johnson City, TN, 37604-6035
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1891239349
Provider Name
Ivan Lionel Pickle JR.
Credential
LPN
Provider Entity Type
Individual
Gender
Male
Address
400 N State Of Franklin Rd, Johnson City, TN, 37604-6035
Phone Number
423-431-1410
Fax Number
423-431-6370
Provider Enumeration Date
12/16/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
400 N State Of Franklin Rd
City
Johnson City
State
Tennessee
Zip
37604-6035
Phone Number
423-431-1410
Fax Number
423-431-6370
person
Provider Business Mailing Address Details
Address
400 N State Of Franklin Rd
City
Johnson City
State
Tennessee
Zip
37604-6035
Phone Number
423-431-1410
Fax Number
423-431-6370
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
32270 (Tennessee)
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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