Individual provider · Type 1 NPI

Shanda Camille Wickfall

Nurse's Aide · Memphis, TN

NPI number 1386519643 Active

Practice location

4061 Laconia Ln
Memphis, TN 38118-4909

Specialties and licenses

TaxonomyCodeLicense
Nurse's Aide Primary 376K00000XNone listed

Nurse's Aide: (1) An unlicensed individual who is trained to function in an assistive role to the licensed nurse in the provision of patient/client activities as delegated by the nurse; (2) An individual trained (either on-the-job or through a formal course generally of less than one year) and experienced in performing patient or client-care nursing tasks that do not require the skills of a specialist, technician, or professional…

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About NPI 1386519643

Shanda Camille Wickfall's National Provider Identifier is 1386519643, issued on Oct 7, 2025. The primary taxonomy on file is Nurse's Aide (376K00000X), and the practice location is in Memphis, TN. The record was last updated on Oct 7, 2025.