Individual provider · Type 1 NPI

Shantavis Shantrell Fayson

Licensed Practical Nurse · Gainesville, FL

NPI number 1992466171 Active

Practice location

2802 NE 53rd Ct # 194
Gainesville, FL 32609-2625

Call (850) 933-1399 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X5242314 (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 1992466171

Shantavis Shantrell Fayson's National Provider Identifier is 1992466171, issued on Jan 10, 2022. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Gainesville, FL. The record was last updated on Jan 10, 2022.