NPI 1013490580

Daniqualon V Edwards

Practitioner Licensed Vocational Nurse Jefferson, TX

Practice location

Address: 120 N Walnut St, Jefferson, TX 75657-1934
Phone: (903) 665-6131
Mailing address: PO Box 901, Jefferson, TX 75657-0901

Registered specialties

Licensed Vocational Nurse Primary

Nursing Service Providers Taxonomy 164X00000X Licence 206305 (TX)

Other Licensed Vocational Nurse providers in Texas →

Registry record

NPI: 1013490580
Entity type: Individual
Sex (as registered): Female
NPI issued: 11 Sep 2018
Record last updated: 11 Sep 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.