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Micaneasha Ross
Licensed Practical Nurse in Lake City, Florida
NPI 1740776590

Micaneasha Ross is a Licensed Practical Nurse based in Gainesville, FL. Micaneasha Ross practices in Lake City, FL. The NPI Number for Micaneasha Ross is 1740776590 and holds a License No. PN5194792 (Florida).

The current practice location address for Micaneasha Ross is 439 Sw Michigan St, Lake City, FL and can be reached out via phone at 352-374-5600.

Location: 439 Sw Michigan St, Lake City, FL, 32608-4006
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1740776590
Provider Name
Micaneasha Ross
Credential
Provider Entity Type
Individual
Gender
Female
Address
439 Sw Michigan St, Lake City, FL, 32608-4006
Phone Number
352-374-5600
Fax Number
Provider Enumeration Date
07/05/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
439 Sw Michigan St
City
Lake City
State
Florida
Zip
32025-0440
Phone Number
352-374-5600
Fax Number
person
Provider Business Mailing Address Details
Address
439 Sw Michigan St
City
Lake City
State
Florida
Zip
32025-0440
Phone Number
352-374-5600
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
PN5194792 (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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