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Sydney Fagan, LPN
Licensed Practical Nurse in Atlanta, Georgia
NPI 1962972208

Sydney Fagan is a Licensed Practical Nurse based in Atlanta, GA. Sydney Fagan practices in Atlanta, GA and has the professional credentials of LPN. The NPI Number for Sydney Fagan is 1962972208 and holds a License No. PN5211231 (Georgia).

The current practice location address for Sydney Fagan is 2900 Chamblee Tucker Rd Bldg 16, Atlanta, GA and can be reached out via phone at 770-939-1288 and via fax at 770-212-2203.

Location: 2900 Chamblee Tucker Rd Bldg 16, Atlanta, GA, 30341-4148
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1962972208
Provider Name
Sydney Fagan
Credential
LPN
Provider Entity Type
Individual
Gender
Female
Address
2900 Chamblee Tucker Rd Bldg 16, Atlanta, GA, 30341-4148
Phone Number
770-939-1288
Fax Number
770-212-2203
Provider Enumeration Date
11/29/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
544735807A 05 GA
institution
Provider Business Practice Location Address Details
Address
2900 Chamblee Tucker Rd Bldg 16
City
Atlanta
State
Georgia
Zip
30341-4148
Phone Number
770-939-1288
Fax Number
770-212-2203
person
Provider Business Mailing Address Details
Address
2900 Chamblee Tucker Rd Bldg 16
City
Atlanta
State
Georgia
Zip
30341-4148
Phone Number
770-939-1288
Fax Number
770-212-2203
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
PN5211231 (Florida)
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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