Provider Demographics
NPI:1902645526
Name:LAPIERRE, TASHANA (LPN)
Entity type:Individual
Prefix:MISS
First Name:TASHANA
Middle Name:
Last Name:LAPIERRE
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9263 THUNDERBOLT DR
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32221-8054
Mailing Address - Country:US
Mailing Address - Phone:904-307-9493
Mailing Address - Fax:
Practice Address - Street 1:9263 THUNDERBOLT DR
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32221-8054
Practice Address - Country:US
Practice Address - Phone:904-307-9493
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-22
Last Update Date:2024-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPN5207214164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse