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Ms. Teshanee Dara Douglas, LPN
Licensed Practical Nurse in New York, New York
NPI 1629647920

Teshanee Dara Douglas is a Licensed Practical Nurse based in Bronx, NY. Teshanee Dara Douglas practices in New York, NY and has the professional credentials of LPN. The NPI Number for Teshanee Dara Douglas is 1629647920 and holds a License No. 280133-1 (New York).

The current practice location address for Teshanee Dara Douglas is 121-123 West 111Th Street, New York, NY and can be reached out via phone at 212-678-4990.

Location: 121-123 West 111Th Street, New York, NY, 10456-7898
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1629647920
Provider Name
Teshanee Dara Douglas
Credential
LPN
Provider Entity Type
Individual
Gender
Female
Address
121-123 West 111Th Street, New York, NY, 10456-7898
Phone Number
212-678-4990
Fax Number
Provider Enumeration Date
06/21/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
121-123 West 111Th Street
City
New York
State
New York
Zip
10026
Phone Number
212-678-4990
Fax Number
person
Provider Business Mailing Address Details
Address
121-123 West 111Th Street
City
New York
State
New York
Zip
10026
Phone Number
212-678-4990
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
280133-1 (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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