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Shacoya Latrece Grady, LPN
Licensed Practical Nurse in Pine Bluff, Arkansas
NPI 1619390911

Shacoya Latrece Grady is a Licensed Practical Nurse based in Pine Bluff, AR. Shacoya Latrece Grady practices in Pine Bluff, AR and has the professional credentials of LPN. The NPI Number for Shacoya Latrece Grady is 1619390911 and holds a License No. L52687 (Arkansas).

The current practice location address for Shacoya Latrece Grady is 3450 W 34Th Ave, Pine Bluff, AR and can be reached out via phone at 870-534-7392.

Location: 3450 W 34Th Ave, Pine Bluff, AR, 71601-6197
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1619390911
Provider Name
Shacoya Latrece Grady
Credential
LPN
Provider Entity Type
Individual
Gender
Female
Address
3450 W 34Th Ave, Pine Bluff, AR, 71601-6197
Phone Number
870-534-7392
Fax Number
Provider Enumeration Date
01/23/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3450 W 34Th Ave
City
Pine Bluff
State
Arkansas
Zip
71603-5508
Phone Number
870-534-7392
Fax Number
person
Provider Business Mailing Address Details
Address
3450 W 34Th Ave
City
Pine Bluff
State
Arkansas
Zip
71603-5508
Phone Number
870-534-7392
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
L52687 (Arkansas)
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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