Individual provider · Type 1 NPI

Tabitha Hickson

Licensed Practical Nurse · Roosevelt, NY

NPI number 1275977449 Active

Practice location

149 Elmwood Ave
Roosevelt, NY 11575-1807

Call (516) 379-0614 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X313284 (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 1275977449

Tabitha Hickson's National Provider Identifier is 1275977449, issued on Apr 18, 2013. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Roosevelt, NY. The record was last updated on Apr 18, 2013.