Individual provider · Type 1 NPI

Daveena Hudson-Polk, CNA

Nurse's Aide · Chicago, IL

NPI number 1245773340 Active

Practice location

11748 South Vincennes Ave
Chicago, IL 60643

Call (773) 263-9529 Map

Mailing address

11748 S Vincennes Ave
Chicago, IL 60643-4913

Specialties and licenses

Taxonomy	Code	License
Nurse's Aide Primary	376K00000X	None listed

Nurse's Aide: (1) An unlicensed individual who is trained to function in an assistive role to the licensed nurse in the provision of patient/client activities as delegated by the nurse; (2) An individual trained (either on-the-job or through a formal course generally of less than one year) and experienced in performing patient or client-care nursing tasks that do not require the skills of a specialist, technician, or professional…

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About NPI 1245773340

Daveena Hudson-Polk, CNA's National Provider Identifier is 1245773340, issued on Nov 22, 2016. The primary taxonomy on file is Nurse's Aide (376K00000X), and the practice location is in Chicago, IL. The record was last updated on Nov 22, 2016.