MYESHA FENNICK LPN
NPI 1144672403
Licensed Practical Nurse in Madison Heights, MI

Q: What is Myesha Fennick's NPI number?

The NPI number for Myesha Fennick is 1144672403. It was assigned to this individual provider in the NPPES registry on July 11, 2016.

Q: What is Myesha Fennick's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Myesha Fennick was last updated on July 11, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.

Active since July 11, 2016

605 WEST BROCKTON AVENUE, MADISON HEIGHTS, MI 48071(248) 825-5401 Get Directions Write a Review

NPPES record last updated: July 11, 2016. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Myesha Fennick Lpn NPPES

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

MYESHA FENNICK LPN (NPI 1144672403) is an individual licensed practical nurse in Madison Heights, Michigan, licensed in Michigan (4703110153) and active in the NPI registry since July 2016.

NPPES Registry Identity

NPI1144672403

Entity TypeIndividualFemale

Primary Taxonomy164W00000X

Provider Legal NameMYESHA FENNICKCredential: LPN

Location Address605 WEST BROCKTON AVENUEMadison Heights, MI 48071-3919

Mailing Address605 West Brockton AvenueMadison Heights, MI 48071-3919 · (248) 825-5401

Phone(248) 825-5401

Sole ProprietorYes

Enumeration DateJuly 11, 2016

✔ NPI 1144672403 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 MI · 4703110153

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.

605 WEST BROCKTON AVENUE, Madison Heights, MI 48071

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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 Myesha Fennick's NPI number?

The NPI number for Myesha Fennick is 1144672403. It was assigned to this individual provider in the NPPES registry on July 11, 2016.

Where is Myesha Fennick located?

Myesha Fennick practices at 605 West Brockton Avenue, Madison Heights, MI 48071. The listed phone number is (248) 825-5401.

What is Myesha Fennick'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 Myesha Fennick was last updated on July 11, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.