Individual provider · Type 1 NPI

Shavonne Tankersley

Licensed Practical Nurse · Lincoln Park, MI

NPI number 1255730057 Active

Practice location

1588 London Ave
Lincoln Park, MI 48146-3522

Call (313) 740-0590 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X4703111700 (MI)

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 1255730057

Shavonne Tankersley's National Provider Identifier is 1255730057, issued on Aug 18, 2014. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Lincoln Park, MI. The record was last updated on Aug 18, 2014.