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Telissa Mackall
Licensed Practical Nurse in Columbia, Maryland
NPI 1043753379

Telissa Mackall is a Licensed Practical Nurse based in Columbia, MD. Telissa Mackall practices in Columbia, MD. The NPI Number for Telissa Mackall is 1043753379 and holds a License No. LP46362 (Maryland).

The current practice location address for Telissa Mackall is 8930 Stanford Blvd, Columbia, MD and can be reached out via phone at 443-285-0807.

Location: 8930 Stanford Blvd, Columbia, MD, 21045-5805
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1043753379
Provider Name
Telissa Mackall
Credential
Provider Entity Type
Individual
Gender
Female
Address
8930 Stanford Blvd, Columbia, MD, 21045-5805
Phone Number
443-285-0807
Fax Number
Provider Enumeration Date
11/18/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
8930 Stanford Blvd
City
Columbia
State
Maryland
Zip
21045-5805
Phone Number
443-285-0807
Fax Number
person
Provider Business Mailing Address Details
Address
8930 Stanford Blvd
City
Columbia
State
Maryland
Zip
21045-5805
Phone Number
443-285-0807
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
LP46362 (Maryland)
Definition
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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