Individual provider · Type 1 NPI
Shyquanda Mahome
Licensed Practical Nurse · Americus, GA
NPI number
1114697901
Active
Practice location
200 Cotton Ave
Americus, GA 31709-3514
Mailing address
1107 Felder St
Americus, GA 31709-4322
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Licensed Practical Nurse Primary | 164W00000X | LPN089774 (GA) |
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 1114697901
Shyquanda Mahome's National Provider Identifier is 1114697901, issued on Sep 14, 2021. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Americus, GA. The record was last updated on Sep 14, 2021.