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CONNIE GRESHAM LPN NPI 1972087096


NPI Information

NPI: 1972087096
Provider Name: CONNIE GRESHAM, LPN
Classification: Licensed Practical Nurse - 164W00000X
Entity Type: Individual
Address:
180 WATER OAK DR
CEDARTOWN, GA
ZIP 30125
Phone: (706) 270-5033
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Connie Gresham, LPN is a licensed practical nurse in Cedartown, GA. The provider is 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. Connie Gresham, LPN NPI is 1972087096. 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:

180 WATER OAK DR
CEDARTOWN, GA
ZIP 30125-095
Phone: (706) 270-5033

The enumeration date for this NPI number is 9/25/2018 and was last updated on 9/25/2018.


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 NurseLPN031192GEORGIAYes

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.