GENEVA BRENT LPN
NPI 1316484686
Licensed Practical Nurse in Douglasville, GA

Active since January 25, 2017
2109 FAIRBURN ROAD, DOUGLASVILLE, GA 30135(770) 726-7958 Get Directions Write a Review

NPPES record last updated: January 25, 2017. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Geneva Brent Lpn NPPES

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

GENEVA BRENT LPN (NPI 1316484686) is an individual licensed practical nurse in Douglasville, Georgia, licensed in Georgia (LPN092923) and active in the NPI registry since January 2017.

NPPES Registry Identity

NPI1316484686
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameGENEVA BRENTCredential: LPN
Location Address2109 FAIRBURN ROADDouglasville, GA 30135
Mailing Address2501 Carolyn DriveSmyrna, GA 30080 · (770) 726-7958
Sole ProprietorNo
Enumeration DateJanuary 25, 2017
NPI 1316484686 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 · LPN092923
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.

2109 FAIRBURN ROAD, Douglasville, GA 30135

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1316484686, enumerated as an "individual" on January 25, 2017.

The provider is located at 2109 FAIRBURN ROAD DOUGLASVILLE, GA 30135 and the phone number is (770) 726-7958.

Licensed Practical Nurse with taxonomy code 164W00000X.