Individual provider · Type 1 NPI

Tisheka Laidley

Licensed Practical Nurse · Sunrise, FL

NPI number 1306594429 Active

Practice location

8606 NW 36th St # 107
Sunrise, FL 33351-6665

Mailing address

5036 Estonian Dr
Fairburn, GA 30213-2157

Specialties and licenses

TaxonomyCodeLicense
Paramedic 146L00000XNone listed
Licensed Practical Nurse Primary 164W00000XLPN105085 (GA)

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 1306594429

Tisheka Laidley's National Provider Identifier is 1306594429, issued on Mar 17, 2022. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Sunrise, FL. The record was last updated on Jul 14, 2025.