Provider Demographics
NPI:1942950662
Name:VINCENT, JULIA LATONYA (LPN)
Entity Type:Individual
Prefix:
First Name:JULIA
Middle Name:LATONYA
Last Name:VINCENT
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 1:1940 S GARDEN CT APT 2B
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44312-1941
Mailing Address - Country:US
Mailing Address - Phone:234-334-8864
Mailing Address - Fax:
Practice Address - Street 1:1940 S GARDEN CT APT 2B
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44312-1941
Practice Address - Country:US
Practice Address - Phone:234-334-8864
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-03-25
Last Update Date:2022-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHLPN.175818.MEDS-IV164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse