JOHN ADAM BROUSSARD JR. LVN - NPI 1023864618 - Licensed Vocational Nurse in Rancho Cordova, CA

Q: What is the provider's specialty?

The provider's specialty is Licensed Vocational Nurse with taxonomy code 164X00000X.

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About John Adam Broussard Jr. Lvn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JOHN ADAM BROUSSARD JR. LVN (NPI 1023864618) is an individual licensed vocational nurse in Rancho Cordova, California, licensed in California (VN150240) and active in the NPI registry since April 2024.

NPPES Registry Identity

NPI1023864618

Entity TypeIndividualMale

Primary Taxonomy164X00000X

Provider Legal NameJOHN ADAM BROUSSARD JR.Credential: LVN

Location Address10089 FOLSOM BLVD STE ARancho Cordova, CA 95670-1935

Mailing Address5105 Heather Ranch WayRancho Cordova, CA 95742-8180 · (916) 494-8511

Phone(916) 366-6531

Sole ProprietorYes

Enumeration DateApril 25, 2024

NPPES CertifiedApril 25, 2024

✔ NPI 1023864618 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Vocational NurseNursing Service Providers

Taxonomy Code164X00000X

License✔ Licensed in CA · VN150240

Definition

A licensed vocational nurse 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. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job responsibilities vary among the states.

10089 FOLSOM BLVD STE A, Rancho Cordova, CA 95670

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