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SHAVONNE TANKERSLEY
NPI 1255730057
Licensed Practical Nurse in Lincoln Park, MI

Active since August 18, 2014
1588 LONDON AVE, LINCOLN PARK, MI 48146(313) 740-0590 Get Directions Write a Review

NPPES record last updated: August 18, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Shavonne Tankersley NPPES

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

SHAVONNE TANKERSLEY (NPI 1255730057) is an individual licensed practical nurse in Lincoln Park, Michigan, licensed in Michigan (4703111700) and active in the NPI registry since August 2014.

NPPES Registry Identity

NPI1255730057
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameSHAVONNE TANKERSLEY
Location Address1588 LONDON AVELincoln Park, MI 48146-3522
Mailing Address1588 London AveLincoln Park, MI 48146-3522 · (313) 740-0590
Phone(313) 740-0590
Sole ProprietorNo
Enumeration DateAugust 18, 2014
✔ NPI 1255730057 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 · 4703111700
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.
1588 LONDON AVE, Lincoln Park, MI 48146
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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 Shavonne Tankersley's NPI number?

The NPI number for Shavonne Tankersley is 1255730057. It was assigned to this individual provider in the NPPES registry on August 18, 2014.

Where is Shavonne Tankersley located?

Shavonne Tankersley practices at 1588 London Ave, Lincoln Park, MI 48146. The listed phone number is (313) 740-0590.

What is Shavonne Tankersley'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 Shavonne Tankersley was last updated on August 18, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.