Doctor Name: | LACONNA MARYE WHITTAKER |
NPI Number: | 1427368570 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPN |
License Number: | LPN0000052463 |
Business Practice Address: | 750 Old Hickory Blvd Bldg 1 Suite 190 Brentwood, TN - 370274528 |
Business Phone Number: | 6156617594 |
Business Fax Number: | |
Mailing Address: | 432 Carl Miller Dr, ANTIOCH |
State: | TN |
Postal Code: | 370134408 |
Phone Number: | 6157503880 |
Fax Number: | |
NPI Enumeration Date: | 10/07/2010 |
NPI Last Update Date: | 10/07/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 164W00000X |
License Number: | LPN0000052463 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TN |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Licensed Practical Nurse |
Taxonomy Specialization: | |
Taxonomy 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. |