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MS. JOANNE SOUTHWORTH LPN NPI 1215923339


NPI Information

NPI: 1215923339
Provider Name: MS. JOANNE SOUTHWORTH, LPN
Classification: Licensed Practical Nurse - 164W00000X
Entity Type: Individual
Address:
210 S MAIN ST
THREE RIVERS, MI
ZIP 49093
Phone: (269) 273-5000
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MS. Joanne Southworth, LPN is a licensed practical nurse in Three Rivers, MI. The provider is 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. MS. Joanne Southworth, LPN NPI is 1215923339. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

210 S MAIN ST
THREE RIVERS, MI
ZIP 49093-624
Phone: (269) 273-5000
Fax: (269) 273-8019

The enumeration date for this NPI number is 9/23/2005 and was last updated on 7/8/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1164W00000XLicensed Practical Nurse4703083082MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10656011MEDICARE ID-TYPE UNSPECIFIEDMICHIGAN
21708146MEDICAIDMICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.