Individual provider · Type 1 NPI

Shundra Tarver

Licensed Practical Nurse · Lawrenceville, GA

NPI number 1174007074 Active

Practice location

175 Gwinnett Dr
Lawrenceville, GA 30046-8444

Mailing address

1189 Dunivin Dr
Jonesboro, GA 30238-8072

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000XLPN095143 (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 1174007074

Shundra Tarver's National Provider Identifier is 1174007074, issued on Sep 18, 2018. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Lawrenceville, GA. The record was last updated on Sep 18, 2018.