Individual provider · Type 1 NPI

Tiesha Glover-Kouame, LPN

Licensed Practical Nurse · Staten Island, NY

NPI number 1427932011 Active

Practice location

460 Brielle Ave Bldg H
Staten Island, NY 10314-6427

Mailing address

460 Brielle Ave
Staten Island, NY 10314-6427

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X346637-01 (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 1427932011

Tiesha Glover-Kouame, LPN's National Provider Identifier is 1427932011, issued on Aug 5, 2025. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Staten Island, NY. The record was last updated on Aug 5, 2025.