Individual provider · Type 1 NPI

Tiesha Evelyn Davis, LPN

Licensed Practical Nurse · New York, NY

NPI number 1265313647 Active

Practice location

298 W 147th St Apt 4B
New York, NY 10039-3616

Call (212) 683-6700 Map

Fax (212) 683-6700

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X345972 (NY)

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 1265313647

Tiesha Evelyn Davis, LPN's National Provider Identifier is 1265313647, issued on Sep 11, 2025. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in New York, NY. The record was last updated on Sep 11, 2025.