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BROCK AND HARRISON SERVICES LLC NPI 1487052148


NPI Information

NPI: 1487052148
Provider Name: BROCK AND HARRISON SERVICES, LLC
Classification: Licensed Practical Nurse - 164W00000X
Entity Type: Organization
Address:
3344 23RD ST N
ST PETERSBURG, FL
ZIP 33713
Phone: (727) 612-8031
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BROCK AND HARRISON SERVICES, LLC is a licensed practical nurse in St Petersburg, FL. The provider is a licensed practical nurse 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. BROCK AND HARRISON SERVICES, LLC NPI is 1487052148. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3344 23RD ST N
ST PETERSBURG, FL
ZIP 33713-708
Phone: (727) 612-8031
Fax: (727) 914-8107

The provider's authorized official is Jackie Lee Brock .
The authorized official title is President and has the following contact phone number (727) 612-8031.

The enumeration date for this NPI number is 12/12/2014 and was last updated on 12/12/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1164W00000XLicensed Practical NursePN 5212877FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11851791917OTHERFLORIDANPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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