Donald William Jarvis in Ft. Campbell - Licensed Practical Nurse
Donald William Jarvis - NPI 1285682112
Donald William Jarvis is a Licensed Practical Nurse in Ft. Campbell, Kentucky. Donald William Jarvis practices all healthcare services and medical treatments related to Licensed Practical Nurse. The NPI Number for Donald William Jarvis is 1285682112. The last update date is 2007-07-08.
Donald William Jarvis's current location address is Bldg. 5979 Desert Storm Ave., Ft. Campbell, Kentucky. You can contact this provider via phone number 2709560301. The mailing address for Donald William Jarvis is Bldg. 5979 Desert Storm Ave., Ft. Campbell, Kentucky. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Donald William Jarvis |
|---|---|
| Address | Bldg. 5979 Desert Storm Ave., Ft. Campbell, Kentucky |
| Phone Number | 2709560301 |
| Fax Number | |
| Sole Proprietor | X |
| Credentials | LPN |
NPI Number Detail
| NPI Number | 1285682112 |
|---|---|
| Provider Enumeration Date | 2006-05-04 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | Bldg. 5979 Desert Storm Ave. |
|---|---|
| City | Ft. Campbell |
| State | Kentucky (KY) |
| Post Code | 42223 |
| Phone Number | 2709560301 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Licensed Practical Nurse |
|---|---|
| Taxonomy | 164W00000X |
| Licence No | 50728 |
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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 r |
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What is the unique identification code assigned to Donald William Jarvis by the Centers for Medicare & Medicaid Services?
The Donald William Jarvis has been issued the NPI (National Provider Identifier) 1285682112. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Donald William Jarvis located?
The Donald William Jarvis is located at Bldg. 5979 Desert Storm Ave., Ft. Campbell, KY 42223.
What is the area of specialization for Donald William Jarvis, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Donald William Jarvis is Licensed Practical Nurse, and the corresponding taxonomy code that categorizes this area of expertise is 164W00000X.
On what date did the Donald William Jarvis receive the assignment of its 1285682112 from the Centers for Medicare & Medicaid Services?
The Donald William Jarvis was issued its 1285682112 by the Centers for Medicare & Medicaid Services on 2006-05-04.
As of what date was the information regarding Donald William Jarvis, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Donald William Jarvis, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.
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