JANUARY LANIECE BOMAR LPN NPI 1700531431

NPI Information

  • NPI: 1700531431
  • Provider Name: JANUARY LANIECE BOMAR, LPN
  • Classification: Licensed Practical Nurse - 164W00000X
  • Entity Type: Individual
  • Address: 1754 TEXAS AVE
    KNOXVILLE, TN
    ZIP 37921
  • Phone: (865) 934-6165

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NPI Details

January Laniece Bomar, LPN is a licensed practical nurse in Knoxville, TN. 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. January Laniece Bomar, LPN NPI is 1700531431. 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:

1754 TEXAS AVE
KNOXVILLE, TN
ZIP 37921-513
Phone: (865) 934-6165
Fax: (865) 342-0165

The enumeration date for this NPI number is 2/22/2022 and was last updated on 2/22/2022.

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 Nurse96745TENNESSEEYes

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: 3/30/2025

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