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Raven Kiara Lee, LPN
Licensed Practical Nurse in Southaven, Mississippi
NPI 1124607908

Raven Kiara Lee is a Licensed Practical Nurse based in Memphis, MS. Raven Kiara Lee practices in Southaven, MS and has the professional credentials of LPN. The NPI Number for Raven Kiara Lee is 1124607908 and holds a License No. 329980 (Mississippi).

The current practice location address for Raven Kiara Lee is 340 Stateline Rd W, Southaven, MS and can be reached out via phone at 662-579-3955.

Location: 340 Stateline Rd W, Southaven, MS, 38141-0770
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1124607908
Provider Name
Raven Kiara Lee
Credential
LPN
Provider Entity Type
Individual
Gender
Female
Address
340 Stateline Rd W, Southaven, MS, 38141-0770
Phone Number
662-579-3955
Fax Number
Provider Enumeration Date
04/07/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
340 Stateline Rd W
City
Southaven
State
Mississippi
Zip
38671-1610
Phone Number
662-579-3955
Fax Number
person
Provider Business Mailing Address Details
Address
340 Stateline Rd W
City
Southaven
State
Mississippi
Zip
38671-1610
Phone Number
662-579-3955
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
329980 (Mississippi)
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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