Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LAKISHA SHANTAYE PARKS, LPN
Active Sole ProprietorLAKISHA SHANTAYE PARKS, LPN is a Licensed Practical Nurse healthcare provider located in BRIDGEPORT, Michigan. NPI 1578118378 is currently active in the NPPES registry. Verify at CMS.
Licensed Practical Nurse · BRIDGEPORT, MI
Registration Details
- NPI Number
- 1578118378
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 8, 2019 (6.8711026121661 yrs)
- Last Updated
- Jul 28, 2025
- License
-
4703117282 (MI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
4200 EMERALD DRBRIDGEPORT, MI, 487229520Browse MI providers · Browse ZIP 48722
- Phone
- 9893723691
- Primary Specialty
-
Licensed Practical Nurse
164W00000X
Other Licensed Practical Nurse Providers in BRIDGEPORT, MI
| Name | Credential | NPI |
|---|---|---|
| JEREMIAH J VALLENDER | LPN | 1508422528 |
| MELISSA ANN HARRISON | LPN | 1992435473 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.