Individual provider · Type 1 NPI

Shirley Haynes

Licensed Practical Nurse · Madison, FL

NPI number 1972042018 Active

Practice location

219 SW Third Ave
Madison, FL 32340-2906

Mailing address

401 SE Bunker St Apt A
Madison, FL 32340-2906

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000XPN961621 (FL)

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 1972042018

Shirley Haynes's National Provider Identifier is 1972042018, issued on Feb 22, 2017. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Madison, FL. The record was last updated on Feb 22, 2017.