Individual provider · Type 1 NPI

Tabitha Domonique Griffin

Licensed Practical Nurse · Rochester, NY

NPI number 1114495736 Active

Practice location

55 Forthill Terrace
Rochester, NY 14620

Mailing address

55 Fort Hill Ter
Rochester, NY 14620-4243

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X331068 (NY)

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 1114495736

Tabitha Domonique Griffin's National Provider Identifier is 1114495736, issued on Nov 13, 2018. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Rochester, NY. The record was last updated on Nov 13, 2018.