Individual provider · Type 1 NPI

Shannon Huddleston

Nurse's Aide · Benton Harbor, MI

NPI number 1639637176 Active

Practice location

1385 E Empire Ave
Benton Harbor, MI 49022-2037

Call (269) 925-0033 Map

Mailing address

848 Ogden Ave
Benton Harbor, MI 49022-5135

Specialties and licenses

TaxonomyCodeLicense
Nurse's Aide Primary 376K00000X44985 (MI)

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 1639637176

Shannon Huddleston's National Provider Identifier is 1639637176, issued on Mar 4, 2019. The primary taxonomy on file is Nurse's Aide (376K00000X), and the practice location is in Benton Harbor, MI. The record was last updated on Mar 4, 2019.