MRS. LAVORNE BLYDEN-GREEN - NPI 1346545662 - Licensed Practical Nurse in Jonesboro, GA

Q: What is the provider's specialty?

The provider's specialty is Licensed Practical Nurse with taxonomy code 164W00000X.

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About Mrs. Lavorne Blyden-green NPPES

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

MRS. LAVORNE BLYDEN-GREEN (NPI 1346545662) is an individual licensed practical nurse in Jonesboro, Georgia, licensed in New York (346089-01) and active in the NPI registry since January 2011.

NPPES Registry Identity

NPI1346545662

Entity TypeIndividualFemale

Primary Taxonomy164W00000X

Provider Legal NameMRS. LAVORNE BLYDEN-GREEN

Location Address7733 TOWN CTJonesboro, GA 30236-2395

Mailing AddressPo Box 2312Jonesboro, GA 30237-2312 · (404) 781-8166

Phone(404) 781-8166

Sole ProprietorYes

Enumeration DateJanuary 18, 2011

Last NPPES UpdateMay 29, 2026

NPPES CertifiedMay 29, 2026

✔ NPI 1346545662 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 11

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers

Taxonomy Code164W00000X

Licenses✔ Licensed in NY · 346089-01✔ Licensed in FL · PN5264319

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.

Also ListedNon-Pharmacy Dispensing SiteTaxonomy 332900000X

Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X

Also ListedDurable Medical Equipment & Medical Supplies · Customized EquipmentTaxonomy 332BC3200X

Also ListedDurable Medical Equipment & Medical Supplies · Dialysis Equipment & SuppliesTaxonomy 332BD1200X

Also ListedDurable Medical Equipment & Medical Supplies · Nursing Facility SuppliesTaxonomy 332BN1400X

Also ListedDurable Medical Equipment & Medical Supplies · Parenteral & Enteral NutritionTaxonomy 332BP3500X

Also ListedDurable Medical Equipment & Medical Supplies · Oxygen Equipment & SuppliesTaxonomy 332BX2000X

Also ListedHome Delivered MealsTaxonomy 332U00000X

Also ListedProsthetic/Orthotic SupplierTaxonomy 335E00000X

Also ListedPortable X-ray and/or Other Portable Diagnostic Imaging SupplierTaxonomy 335V00000X

7733 TOWN CT, Jonesboro, GA 30236

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