Individual provider · Type 1 NPI

Shauntelle Henderson, LPN

Licensed Practical Nurse · Chicago, IL

NPI number 1760055008 Active

Practice location

312 W 52nd Pl
Chicago, IL 60609-6229

Call (773) 956-4603 Map

Mailing address

304 S Jones Blvd # 2440
Las Vegas, NV 89107-2623

Specialties and licenses

TaxonomyCodeLicense
Nursing Care Agency 251J00000X043.089473 (IL)
Point of Service 305S00000XNone listed
Licensed Practical Nurse Primary 164W00000X043.089473 (IL)

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 1760055008

Shauntelle Henderson, LPN's National Provider Identifier is 1760055008, issued on Jul 23, 2021. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Chicago, IL. The record was last updated on Jan 9, 2022.