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Charissa Davis, LPN
Licensed Practical Nurse in Valley Stream, New York
NPI 1356604789

Charissa Davis is a Licensed Practical Nurse based in Arverne, NY. Charissa Davis practices in Valley Stream, NY and has the professional credentials of LPN. The NPI Number for Charissa Davis is 1356604789 and holds a License No. 239216 (New York).

The current practice location address for Charissa Davis is 13 Cleveland St, Valley Stream, NY and can be reached out via phone at 718-978-4999.

Location: 13 Cleveland St, Valley Stream, NY, 11692-1313
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1356604789
Provider Name
Charissa Davis
Credential
LPN
Provider Entity Type
Individual
Gender
Female
Address
13 Cleveland St, Valley Stream, NY, 11692-1313
Phone Number
718-978-4999
Fax Number
Provider Enumeration Date
06/20/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
239216 01 NY LPN LICENSE
institution
Provider Business Practice Location Address Details
Address
13 Cleveland St
City
Valley Stream
State
New York
Zip
11580-6003
Phone Number
718-978-4999
Fax Number
person
Provider Business Mailing Address Details
Address
13 Cleveland St
City
Valley Stream
State
New York
Zip
11580-6003
Phone Number
718-978-4999
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
239216 (New York)
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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