Provider Demographics
NPI:1568061711
Name:HUNT, PRECIOUS L (LPN)
Entity Type:Individual
Prefix:
First Name:PRECIOUS
Middle Name:L
Last Name:HUNT
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:716 VIA DEL SUR
Mailing Address - Street 2:
Mailing Address - City:MESQUITE
Mailing Address - State:TX
Mailing Address - Zip Code:75150-4440
Mailing Address - Country:US
Mailing Address - Phone:870-816-6842
Mailing Address - Fax:
Practice Address - Street 1:716 VIA DEL SUR
Practice Address - Street 2:
Practice Address - City:MESQUITE
Practice Address - State:TX
Practice Address - Zip Code:75150-4440
Practice Address - Country:US
Practice Address - Phone:870-816-6842
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-10-20
Last Update Date:2020-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARL059305164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse