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JOANNE JERVIS-VIVILLE LPN
NPI 1174914899
Licensed Practical Nurse in Loganville, GA

Active since February 17, 2015
1072 PRESERVE PARK DR, LOGANVILLE, GA 30052(770) 990-4333(770) 982-9978 Get Directions Write a Review

NPPES record last updated: February 17, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Joanne Jervis-viville Lpn NPPES

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

JOANNE JERVIS-VIVILLE LPN (NPI 1174914899) is an individual licensed practical nurse in Loganville, Georgia, licensed in Georgia (LPN069972) and active in the NPI registry since February 2015.

NPPES Registry Identity

NPI1174914899
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameJOANNE JERVIS-VIVILLECredential: LPN
Location Address1072 PRESERVE PARK DRLoganville, GA 30052-8405
Mailing Address1072 Preserve Park DrLoganville, GA 30052-8405 · (770) 990-4333 · Fax (770) 982-9978
Phone(770) 990-4333
Fax(770) 982-9978
Sole ProprietorYes
Enumeration DateFebruary 17, 2015
✔ NPI 1174914899 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 GA · LPN069972
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.
1072 PRESERVE PARK DR, Loganville, GA 30052
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Joanne Jervis-viville's NPI number?

The NPI number for Joanne Jervis-viville is 1174914899. It was assigned to this individual provider in the NPPES registry on February 17, 2015.

Where is Joanne Jervis-viville located?

Joanne Jervis-viville practices at 1072 Preserve Park Dr, Loganville, GA 30052. The listed phone number is (770) 990-4333.

What is Joanne Jervis-viville's specialty?

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

When was this NPI record last updated?

The NPPES record for Joanne Jervis-viville was last updated on February 17, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.