DEDRIE GODBOLT - NPI 1114287281 - Licensed Practical Nurse in Gainesville, FL

Q: What is Dedrie Godbolt's NPI number?

The NPI number for Dedrie Godbolt is 1114287281. It was assigned to this individual provider in the NPPES registry on May 23, 2012.

Q: What is Dedrie Godbolt's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

Q: When was this NPI record last updated?

The NPPES record for Dedrie Godbolt was last updated on May 23, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Dedrie Godbolt NPPES

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

DEDRIE GODBOLT (NPI 1114287281) is an individual licensed practical nurse in Gainesville, Florida, licensed in Florida (PN5202640) and active in the NPI registry since May 2012.

NPPES Registry Identity

NPI1114287281

Entity TypeIndividualFemale

Primary Taxonomy164W00000X

Provider Legal NameDEDRIE GODBOLT

Location Address4300 SW 13TH STGainesville, FL 32608-4006

Mailing Address4300 Sw 13th StGainesville, FL 32608-4006

Phone(352) 374-5600

Fax(352) 374-5608

Sole ProprietorNo

Enumeration DateMay 23, 2012

✔ NPI 1114287281 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers

Taxonomy Code164W00000X

License✔ Licensed in FL · PN5202640

Definition

A licensed practical 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. Requirements for education, experience, licensure, and job responsibilities vary among the states.

4300 SW 13TH ST, Gainesville, FL 32608

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