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Shaundria Tillman, LPN
Licensed Practical Nurse in Jacksonville, Florida
NPI 1740755842

Shaundria Tillman is a Licensed Practical Nurse based in Jacksonville, FL. Shaundria Tillman practices in Jacksonville, FL and has the professional credentials of LPN. The NPI Number for Shaundria Tillman is 1740755842 and holds a License No. PN5228192 (Florida).

The current practice location address for Shaundria Tillman is 5749 Tampico Rd, Jacksonville, FL and can be reached out via phone at 904-537-9701.

Location: 5749 Tampico Rd, Jacksonville, FL, 32244-1736
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1740755842
Provider Name
Shaundria Tillman
Credential
LPN
Provider Entity Type
Individual
Gender
Female
Address
5749 Tampico Rd, Jacksonville, FL, 32244-1736
Phone Number
904-537-9701
Fax Number
Provider Enumeration Date
10/04/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
PN5228192 01 FL LICENSE PRACTICAL NURSE
institution
Provider Business Practice Location Address Details
Address
5749 Tampico Rd
City
Jacksonville
State
Florida
Zip
32244-1736
Phone Number
904-537-9701
Fax Number
person
Provider Business Mailing Address Details
Address
5749 Tampico Rd
City
Jacksonville
State
Florida
Zip
32244-1736
Phone Number
904-537-9701
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
PN5228192 (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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