Individual provider · Type 1 NPI

Myrtise Shepard

Licensed Practical Nurse · Chicago, IL

NPI number 1255880969 Active

Practice location

12324 S Union Union Ave
Chicago, IL 60628-6433

Call (773) 317-2943 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X043-028179 (IL)

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 1255880969

Myrtise Shepard's National Provider Identifier is 1255880969, issued on Sep 23, 2016. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Chicago, IL. The record was last updated on Sep 23, 2016.