MRS. CARISSA M COLLUM LPN
NPI 1285773564
Licensed Practical Nurse in Monroe, LA

Q: What is the provider's specialty?

The provider's specialty is Licensed Practical Nurse with taxonomy code 164W00000X.

Active since February 05, 2007

4800 S GRAND ST, MONROE, LA 71202(318) 362-3339(318) 362-4174 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Mrs. Carissa M Collum Lpn NPPES

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

MRS. CARISSA M COLLUM LPN (NPI 1285773564) is an individual licensed practical nurse in Monroe, Louisiana, licensed in Louisiana (990718) and active in the NPI registry since February 2007.

NPPES Registry Identity

NPI1285773564

Entity TypeIndividualFemale

Primary Taxonomy164W00000X

Provider Legal NameMRS. CARISSA M COLLUMCredential: LPN

Location Address4800 S GRAND STMonroe, LA 71202-6412

Mailing Address4800 S Grand StMonroe, LA 71202-6412 · (318) 362-3339 · Fax (318) 362-4174

Phone(318) 362-3339

Fax(318) 362-4174

Sole ProprietorNo

Enumeration DateFebruary 5, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1285773564 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 LA · 990718

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.

4800 S GRAND ST, Monroe, LA 71202

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