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RAVEN KIARA LEE LPN
NPI 1124607908
Licensed Practical Nurse in Southaven, MS

Active since April 07, 2021
340 STATELINE RD W, SOUTHAVEN, MS 38671(662) 579-3955 Get Directions Write a Review

NPPES record last updated: April 7, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Raven Kiara Lee Lpn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RAVEN KIARA LEE LPN (NPI 1124607908) is an individual licensed practical nurse in Southaven, Mississippi, licensed in Mississippi (329980) and active in the NPI registry since April 2021.

NPPES Registry Identity

NPI1124607908
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameRAVEN KIARA LEECredential: LPN
Location Address340 STATELINE RD WSouthaven, MS 38671-1610
Mailing Address6681 Boylston DrMemphis, TN 38141-0770 · (901) 759-8482
Phone(662) 579-3955
Sole ProprietorNo
Enumeration DateApril 7, 2021
NPPES CertifiedApril 7, 2021
✔ NPI 1124607908 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in MS · 329980
Definition
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.
340 STATELINE RD W, Southaven, MS 38671
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Other Names 1

Other Name (5)Raven Kiara Coleman Lpn

Other Providers at the Same Location NPPES 18

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHRISTINA MARIE MCCAFFERTY
Social Worker
340 STATELINE RD W
SOUTHAVEN, MS 38671
Desoto County (901) 834-1146
SAJA B MBOGE
Social Worker (Clinical)
340 STATELINE RD W
SOUTHAVEN, MS 38671
Desoto County (662) 510-5387
DAPHANE BROWN
Licensed Practical Nurse
340 STATELINE RD W
SOUTHAVEN, MS 38671
Desoto County (661) 510-5387
BRITTANY LEAFAYE MCKINNEY LCSW
Social Worker (Clinical)
340 STATELINE RD W
SOUTHAVEN, MS 38671
Desoto County (662) 579-3955
CASHANDRA L HOOPER
Registered Nurse (Addiction (Substance Use Disorder))
340 STATELINE RD W
SOUTHAVEN, MS 38671
Desoto County (662) 579-3955
STEVEN A SMITH
Counselor (Mental Health)
340 STATELINE RD W
SOUTHAVEN, MS 38671
Desoto County (615) 417-9894
ADDICTION CAMPUSES OF MISSISSIPPI, LLC
Substance Abuse Rehabilitation Facility
340 STATELINE RD W
SOUTHAVEN, MS 38671
Desoto County (662) 510-5387
OLIVIA JANE BALL PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
340 STATELINE RD W
SOUTHAVEN, MS 38671
Desoto County (662) 579-3955

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Raven Lee's NPI number?

The NPI number for Raven Lee is 1124607908. It was assigned to this individual provider in the NPPES registry on April 7, 2021. The provider is also known as Raven Kiara Coleman Lpn.

Where is Raven Lee located?

Raven Lee practices at 340 Stateline Rd W, Southaven, MS 38671. The listed phone number is (662) 579-3955.

What is Raven Lee's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Raven Lee was last updated on April 7, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.