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DEAUDRA PULLIAM LPN
NPI 1447016373
Licensed Practical Nurse in Louisville, KY

Active since February 27, 2024
4157 HALE AVE, LOUISVILLE, KY 40211(615) 497-6906 Get Directions Write a Review

NPPES record last updated: February 27, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Deaudra Pulliam Lpn NPPES

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

DEAUDRA PULLIAM LPN (NPI 1447016373) is an individual licensed practical nurse in Louisville, Kentucky, licensed in Tennessee (94689) and active in the NPI registry since February 2024.

NPPES Registry Identity

NPI1447016373
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameDEAUDRA PULLIAMCredential: LPN
Location Address4157 HALE AVELouisville, KY 40211-2557
Mailing Address4157 Hale AveLouisville, KY 40211-2557 · (615) 497-6906
Phone(615) 497-6906
Sole ProprietorYes
Enumeration DateFebruary 27, 2024
NPPES CertifiedFebruary 27, 2024
✔ NPI 1447016373 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 TN · 94689
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.
4157 HALE AVE, Louisville, KY 40211
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Other Names 1

Professional Name (2)Deaudra Pulliam Lpn

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 Deaudra Pulliam's NPI number?

The NPI number for Deaudra Pulliam is 1447016373. It was assigned to this individual provider in the NPPES registry on February 27, 2024. The provider is also known as Deaudra Pulliam Lpn.

Where is Deaudra Pulliam located?

Deaudra Pulliam practices at 4157 Hale Ave, Louisville, KY 40211. The listed phone number is (615) 497-6906.

What is Deaudra Pulliam'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 Deaudra Pulliam was last updated on February 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.