Individual provider · Type 1 NPI

Kanitra Elmore

Registered Nurse · Lake Providence, LA

NPI number 1962995688 Active

Practice location

202 Lake St
Lake Providence, LA 71254-2628

Fax (318) 552-5127

Mailing address

2984 Highway 80 W Lot 58
Calhoun, LA 71225-7915

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse Primary 163W00000X111966 (LA)

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…

About NPI 1962995688

Kanitra Elmore's National Provider Identifier is 1962995688, issued on Jun 7, 2018. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Lake Providence, LA. The record was last updated on Jun 7, 2018.