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Ms. Juanetta Martin, LPN
Licensed Practical Nurse in Bastrop, Louisiana
NPI 1972650653

Juanetta Martin is a Licensed Practical Nurse based in Bastrop, LA. Juanetta Martin practices in Bastrop, LA and has the professional credentials of LPN. The NPI Number for Juanetta Martin is 1972650653 and holds a License No. 900889 (Louisiana).

The current practice location address for Juanetta Martin is 8057 Williard Rd, Bastrop, LA and can be reached out via phone at 318-556-0043 and via fax at 318-556-3633.

Location: 8057 Williard Rd, Bastrop, LA, 71221-0561
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1972650653
Provider Name
Juanetta Martin
Credential
LPN
Provider Entity Type
Individual
Gender
Female
Address
8057 Williard Rd, Bastrop, LA, 71221-0561
Phone Number
318-556-0043
Fax Number
318-556-3633
Provider Enumeration Date
01/04/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1171506 05 LA
1564761 05 LA
institution
Provider Business Practice Location Address Details
Address
8057 Williard Rd
City
Bastrop
State
Louisiana
Zip
71220-8939
Phone Number
318-556-0043
Fax Number
318-556-3633
person
Provider Business Mailing Address Details
Address
8057 Williard Rd
City
Bastrop
State
Louisiana
Zip
71220-8939
Phone Number
318-556-0043
Fax Number
318-556-3633
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
900889 (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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