Individual provider · Type 1 NPI
Taiyonna Marshea Lynnese Blackmon, LPN
Licensed Practical Nurse · St. Louis, MO
NPI number
1033949243
Active
Practice location
4577 Carter Ave
St. Louis, MO 63115-2516
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Licensed Practical Nurse Primary | 164W00000X | 2020033205 (MO) |
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 1033949243
Taiyonna Marshea Lynnese Blackmon, LPN's National Provider Identifier is 1033949243, issued on Aug 2, 2024. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in St. Louis, MO. The record was last updated on Aug 2, 2024.