Individual provider · Type 1 NPI

Tyeasha Gregory

Licensed Practical Nurse · Minoa, NY

NPI number 1962322719 Active

Practice location

307 S Main St
Minoa, NY 13116-1916

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X350679 (NY)

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 1962322719

Tyeasha Gregory's National Provider Identifier is 1962322719, issued on Jul 20, 2026. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Minoa, NY. The record was last updated on Jul 20, 2026.