Individual provider · Type 1 NPI

Kanisha Conrad Dickens, LPN

Licensed Practical Nurse · Durham, NC

NPI number 1659625499 Active

Practice location

12 Moonstone Ct
Durham, NC 27703-2682

Fax (919) 439-0222

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X59949 (NC)
Nursing Home Administrator 376G00000XFCL-032-122 (NC)

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 1659625499

Kanisha Conrad Dickens, LPN's National Provider Identifier is 1659625499, issued on Nov 1, 2012. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Durham, NC. The record was last updated on Nov 27, 2023.