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Shantavis Shantrell Fayson
Licensed Practical Nurse in Gainesville, Florida
NPI 1992466171

Shantavis Shantrell Fayson is a Licensed Practical Nurse based in Gainesville, FL. Shantavis Shantrell Fayson practices in Gainesville, FL. The NPI Number for Shantavis Shantrell Fayson is 1992466171 and holds a License No. 5242314 (Florida).

The current practice location address for Shantavis Shantrell Fayson is 2802 Ne 53Rd Ct # 194, Gainesville, FL and can be reached out via phone at 850-933-1399.

Location: 2802 Ne 53Rd Ct # 194, Gainesville, FL, 32609-2625
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1992466171
Provider Name
Shantavis Shantrell Fayson
Credential
Provider Entity Type
Individual
Gender
Female
Address
2802 Ne 53Rd Ct # 194, Gainesville, FL, 32609-2625
Phone Number
850-933-1399
Fax Number
Provider Enumeration Date
01/10/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2802 Ne 53Rd Ct # 194
City
Gainesville
State
Florida
Zip
32609-2625
Phone Number
850-933-1399
Fax Number
person
Provider Business Mailing Address Details
Address
2802 Ne 53Rd Ct # 194
City
Gainesville
State
Florida
Zip
32609-2625
Phone Number
850-933-1399
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
5242314 (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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