Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SHANISE YVONNE PETTICORD
ActiveSHANISE YVONNE PETTICORD is a Licensed Practical Nurse healthcare provider located in DETROIT, Michigan. NPI 1700639101 is currently active in the NPPES registry. Verify at CMS.
Licensed Practical Nurse · DETROIT, MI
Registration Details
- NPI Number
- 1700639101
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 8, 2024 (2.3564437501814 yrs)
- Last Updated
- Apr 8, 2024
- License
-
4703091434 (MI)
Practice Information
- Address
-
5736 AUDUBON RDDETROIT, MI, 482242665Browse MI providers · Browse ZIP 48224
- Phone
- 3136241067
- Primary Specialty
-
Licensed Practical Nurse
164W00000X
Other Licensed Practical Nurse Providers in DETROIT, MI
| Name | Credential | NPI |
|---|---|---|
| DAWANDA COOPER | LPN | 1114965282 |
| CHRISTINE DELKS | LPN | 1649366402 |
| MRS. JOY LYNETTE JACKSON | LPN | 1801932090 |
| MRS. D'ANN A FAULKS-BLOUNT | LPN | 1285772681 |
| DOROTHY CARR | — | 1356466981 |
| MRS. SHERRY ESTELL MITCHELL | LPN | 1235352246 |
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.