KANISHA CONRAD DICKENS LPN NPI 1659625499

NPI Information

  • NPI: 1659625499
  • Provider Name: KANISHA CONRAD DICKENS, LPN
  • Classification: Licensed Practical Nurse - 164W00000X
  • Entity Type: Individual
  • Address: 12 MOONSTONE CT
    DURHAM, NC
    ZIP 27703
  • Phone: (866) 654-1113

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NPI Details

Kanisha Conrad Dickens, LPN is a licensed practical nurse in Durham, NC. 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. Kanisha Conrad Dickens, LPN NPI is 1659625499. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

12 MOONSTONE CT
DURHAM, NC
ZIP 27703-682
Phone: (866) 654-1113
Fax: (919) 439-0222

The enumeration date for this NPI number is 11/1/2012 and was last updated on 11/27/2023.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1164W00000XLicensed Practical Nurse59949NORTH CAROLINAYes
2376G00000XNursing Home AdministratorFCL-032-122NORTH CAROLINANo

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: 11/21/2025

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