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Elaine Wickham
Licensed Practical Nurse in Lakeland, Florida
NPI 1699010637

Elaine Wickham is a Licensed Practical Nurse based in Bartow, FL. Elaine Wickham practices in Lakeland, FL. The NPI Number for Elaine Wickham is 1699010637 and holds a License No. PN5199622 (Florida).

The current practice location address for Elaine Wickham is 1835 Gilmore Ave, Lakeland, FL and can be reached out via phone at 863-519-0575.

Location: 1835 Gilmore Ave, Lakeland, FL, 33831-1559
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1699010637
Provider Name
Elaine Wickham
Credential
Provider Entity Type
Individual
Gender
Female
Address
1835 Gilmore Ave, Lakeland, FL, 33831-1559
Phone Number
863-519-0575
Fax Number
Provider Enumeration Date
12/03/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1835 Gilmore Ave
City
Lakeland
State
Florida
Zip
33805-3017
Phone Number
863-519-0575
Fax Number
person
Provider Business Mailing Address Details
Address
1835 Gilmore Ave
City
Lakeland
State
Florida
Zip
33805-3017
Phone Number
863-519-0575
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
PN5199622 (Florida)
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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