Individual provider · Type 1 NPI

Shannon Demetris Gray

Licensed Vocational Nurse · Perris, CA

NPI number 1316255441 Active

Practice location

2290 Willowbrook Ln
Perris, CA 92571-3517

Specialties and licenses

TaxonomyCodeLicense
Licensed Vocational Nurse Primary 164X00000XVN 221534 (CA)

Licensed Vocational 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. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job re…

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About NPI 1316255441

Shannon Demetris Gray's National Provider Identifier is 1316255441, issued on Sep 23, 2010. The primary taxonomy on file is Licensed Vocational Nurse (164X00000X), and the practice location is in Perris, CA. The record was last updated on Sep 23, 2010.