Individual provider · Type 1 NPI

Ti'arra Dominique Lee McMillian, LPN

Licensed Practical Nurse · Tampa, FL

NPI number 1013417922 Active

Practice location

2212 E Henry Ave
Tampa, FL 33610-4433

Call (813) 239-8069 Map

Mailing address

5038 Temple Heights Rd Apt 30
Tampa, FL 33617-4626

Specialties and licenses

Taxonomy	Code	License
Licensed Practical Nurse Primary	164W00000X	PN5226312 (FL)

Licensed Practical Nurse: An individual 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.

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About NPI 1013417922

Ti'arra Dominique Lee McMillian, LPN's National Provider Identifier is 1013417922, issued on Feb 16, 2018. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Tampa, FL. The record was last updated on Feb 16, 2018.