Individual provider · Type 1 NPI

Charissa Davis, LPN

Licensed Practical Nurse · Valley Stream, NY

NPI number 1356604789 Active

Practice location

13 Cleveland St
Valley Stream, NY 11580-6003

Mailing address

618 Beach 67th St
Arverne, NY 11692-1313

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X239216 (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 1356604789

Charissa Davis, LPN's National Provider Identifier is 1356604789, issued on Jun 20, 2012. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Valley Stream, NY. The record was last updated on Jun 20, 2012.