SHAMBREKA EADDY
NPI 1205728573
Licensed Practical Nurse in Florence, SC
- Individual
- Licensed Practical Nurse
About SHAMBREKA EADDY
This page provides the complete NPI Profile along with additional information for Shambreka Eaddy, a provider established in Florence, South Carolina operating as a Licensed Practical Nurse. The healthcare provider is registered in the NPI registry with number 1205728573 assigned on July 2025. The practitioner's primary taxonomy code is 164W00000X with license number 51319 (SC). The provider is registered as an individual and their NPI record was last updated one year ago.
- NPI
- 1205728573 Verify this NPI
- Provider Name
- SHAMBREKA EADDY
- Gender
- Entity Type
- Individual
- Location Address
- 661 S ALINE ST FLORENCE, SC 29506
- Location Phone
- (843) 758-2454
- Mailing Address
- 707 NORFOLK ST FLORENCE, SC 29506
- Is Sole Proprietor?
- No
- Enumeration Date
- 07-19-2025
- Last Update Date
- 07-19-2025
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Licensed Practical Nurse
- Taxonomy Code
- 164W00000X
- Type
- Nursing Service Providers
- License No.
- 51319
- License State
- SC
- Taxonomy Description
- 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.
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Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1205728573, enumerated as an "individual" on July 19, 2025.
The provider is located at 661 S ALINE ST FLORENCE, SC 29506 and the phone number is (843) 758-2454.
Licensed Practical Nurse with taxonomy code 164W00000X.
