Individual provider · Type 1 NPI
Kassondra Henderson
Licensed Practical Nurse · Blacklick, OH
NPI number
1902279128
Active
Practice location
7311 Kirkdale Dr
Blacklick, OH 43004-9370
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Licensed Practical Nurse Primary | 164W00000X | PN.157445-M-IV (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 1902279128
Kassondra Henderson's National Provider Identifier is 1902279128, issued on Nov 10, 2015. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Blacklick, OH. The record was last updated on Nov 10, 2015.