WYLETTA RENA SANDERS LVN
NPI 1164925640
Licensed Vocational Nurse in Jefferson, TX

Q: What is Wyletta Sanders's NPI number?

The NPI number for Wyletta Sanders is 1164925640. It was assigned to this individual provider in the NPPES registry on March 12, 2018.

Q: What is Wyletta Sanders's specialty?

The primary specialty registered for this NPI is Licensed Vocational Nurse with taxonomy code 164X00000X.

Q: When was this NPI record last updated?

The NPPES record for Wyletta Sanders was last updated on March 12, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 12, 2018

120 N WALNUT ST, JEFFERSON, TX 75657(903) 665-6131 Get Directions Write a Review

NPPES record last updated: March 12, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Wyletta Rena Sanders Lvn NPPES

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

WYLETTA RENA SANDERS LVN (NPI 1164925640) is an individual licensed vocational nurse in Jefferson, Texas, licensed in Texas (177809) and active in the NPI registry since March 2018.

NPPES Registry Identity

NPI1164925640

Entity TypeIndividualFemale

Primary Taxonomy164X00000X

Provider Legal NameWYLETTA RENA SANDERSCredential: LVN

Location Address120 N WALNUT STJefferson, TX 75657-1934

Mailing Address801 Elysian Fields AveMarshall, TX 75670-5415 · (903) 263-9251

Phone(903) 665-6131

Sole ProprietorNo

Enumeration DateMarch 12, 2018

✔ NPI 1164925640 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 TX · 177809

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.

120 N WALNUT ST, Jefferson, TX 75657

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SHERRY JO LEE

Licensed Vocational Nurse