Individual provider · Type 1 NPI

Shelly Rose Wilkes, LPN

Licensed Practical Nurse · Grand Prairie, TX

NPI number 1043682453 Active

Practice location

3103 Parham Dr Apt 227
Grand Prairie, TX 75052-7726

Call (817) 495-4880 Map

Fax (214) 235-0789

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X2014024802 (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 1043682453

Shelly Rose Wilkes, LPN's National Provider Identifier is 1043682453, issued on Oct 24, 2015. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Grand Prairie, TX. The record was last updated on Oct 24, 2015.