DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JOANNE JERVIS-VIVILLE, LPN

Active Sole Proprietor

JOANNE JERVIS-VIVILLE, LPN is a Licensed Practical Nurse healthcare provider located in LOGANVILLE, Georgia. NPI 1174914899 is currently active in the NPPES registry. Verify at CMS.

Licensed Practical Nurse · LOGANVILLE, GA

Registration Details

NPI Number
1174914899
Provider Type
Individual
Gender
Female
NPI Issued
Feb 17, 2015 (11.48410995428 yrs)
Last Updated
Feb 17, 2015
License
LPN069972 (GA)
Sole Proprietor
Yes

Practice Information

Address
1072 PRESERVE PARK DR
LOGANVILLE, GA, 300528405
Browse GA providers · Browse ZIP 30052
Phone
7709904333
Fax
7709829978
Primary Specialty
Licensed Practical Nurse
164W00000X

Other Licensed Practical Nurse Providers in LOGANVILLE, GA

Name Credential NPI
MICHELE ELLIOTT LPN 1972260297
SHANEIKA SMITH 1871216853
ELIZABETH HOPKINS TURNER LPN 1275378952
DESIRE CORE LPN 1043191398
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.