Individual provider · Type 1 NPI

Marjorie Laurel Headley, LPN

Registered Nurse · Brooksville, FL

NPI number 1790926087 Active

Practice location

4951 Diantha Way
Brooksville, FL 34604-8283

Mailing address

2458 W Lloyd St
Milwaukee, WI 53205-1048

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000X187915-30 (WI)
Registered Nurse Primary 163W00000XRN9668886 (FL)

Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…

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About NPI 1790926087

Marjorie Laurel Headley, LPN's National Provider Identifier is 1790926087, issued on Mar 16, 2009. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Brooksville, FL. The record was last updated on Jan 27, 2026.