Individual provider · Type 1 NPI

Telissa Mackall

Licensed Practical Nurse · Columbia, MD

NPI number 1043753379 Active

Practice location

8930 Stanford Blvd
Columbia, MD 21045-5805

Call (443) 285-0807 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000XLP46362 (MD)

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 1043753379

Telissa Mackall's National Provider Identifier is 1043753379, issued on Nov 18, 2016. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Columbia, MD. The record was last updated on Nov 18, 2016.