Individual provider · Type 1 NPI
Keisha Larone Mack, LPN
Licensed Practical Nurse · Blacklick, OH
NPI number
1841478112
Active
Practice location
8137 Equitana Way
Blacklick, OH 43004-9148
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Licensed Practical Nurse Primary | 164W00000X | 128860 (OH) |
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 1841478112
Keisha Larone Mack, LPN's National Provider Identifier is 1841478112, issued on Feb 8, 2008. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Blacklick, OH. The record was last updated on Feb 8, 2008.