Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Zackary James Ladyman

Individual provider Licensed Practical Nurse · NPI 1639708233

Zackary James Ladyman is a Licensed Practical Nurse in Poplar Bluff, Missouri. Licensed in Missouri. Registered with an NPI since 2020.

Licensed in
MO
In the registry since
2020

Practice location Address checks out

3001 Warrior Ln
Poplar Bluff, MO 63901-8685
Phone: (573) 686-1200
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Licensed Practical Nurse (primary) Taxonomy 164W00000X · Licence 2011011533 (MO)

Record details

NPI number1639708233
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 6, 2020
Last updated in NPPESApril 6, 2020
Certification dateApril 6, 2020
Mailing address3001 Warrior Ln, Poplar Bluff, MO 63901-8685

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