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Shavon Charleston
Licensed Practical Nurse in Canton, Michigan
NPI 1326530395

Shavon Charleston is a Licensed Practical Nurse based in Redford, MI. Shavon Charleston practices in Canton, MI. The NPI Number for Shavon Charleston is 1326530395 and holds a License No. 4703105581 (Michigan).

The current practice location address for Shavon Charleston is 43825 Michigan Ave, Canton, MI and can be reached out via phone at 734-397-3088.

Location: 43825 Michigan Ave, Canton, MI, 48239-1919
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1326530395
Provider Name
Shavon Charleston
Credential
Provider Entity Type
Individual
Gender
Female
Address
43825 Michigan Ave, Canton, MI, 48239-1919
Phone Number
734-397-3088
Fax Number
Provider Enumeration Date
06/05/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
NA 05 MI
institution
Provider Business Practice Location Address Details
Address
43825 Michigan Ave
City
Canton
State
Michigan
Zip
48188-2551
Phone Number
734-397-3088
Fax Number
person
Provider Business Mailing Address Details
Address
43825 Michigan Ave
City
Canton
State
Michigan
Zip
48188-2551
Phone Number
734-397-3088
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
4703105581 (Michigan)
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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