Individual provider · Type 1 NPI

Charlissa Whitted, LPN

Licensed Practical Nurse · Lake Charles, LA

NPI number 1982294807 Active

Practice location

2110 Oak Park Blvd
Lake Charles, LA 70601-7864

Mailing address

7494 Columbia Dr
Lake Charles, LA 70605-0286

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X20120941 (LA)

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 1982294807

Charlissa Whitted, LPN's National Provider Identifier is 1982294807, issued on Jan 25, 2021. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Lake Charles, LA. The record was last updated on Jan 25, 2021.