Individual provider · Type 1 NPI

Shante Tequila Williams, LPN

Licensed Practical Nurse · Suffolk, VA

NPI number 1568000412 Active

Practice location

1258 Holland Rd
Suffolk, VA 23434-6313

Mailing address

619 Railroad Ave
Suffolk, VA 23434-3923

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X0002079361 (VA)

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.

23 other providers at this address

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About NPI 1568000412

Shante Tequila Williams, LPN's National Provider Identifier is 1568000412, issued on Dec 11, 2019. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Suffolk, VA. The record was last updated on Dec 11, 2019.