Individual provider · Type 1 NPI

Tiffany Marie Reavis, LPN

Licensed Practical Nurse · Charleston, WV

NPI number 1659258309 Active

Practice location

900 Virginia St E Ste 400
Charleston, WV 25301-2835

Call (681) 313-4759 Map

Fax (844) 800-3954

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X41753 (WV)

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 1659258309

Tiffany Marie Reavis, LPN's National Provider Identifier is 1659258309, issued on Aug 16, 2025. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Charleston, WV. The record was last updated on Aug 16, 2025.