SECISHA MARIE HERNDON
NPI 1295209005
Licensed Practical Nurse in Garfield Hts, OH

Active since January 15, 2019
4903 E 96TH ST, GARFIELD HTS, OH 44125(216) 673-1461 Get Directions Write a Review

NPPES record last updated: May 19, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: May 19, 2021, Jan 15, 2019 (2 updates tracked since 2019).

About Secisha Marie Herndon NPPES

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

SECISHA MARIE HERNDON (NPI 1295209005) is an individual licensed practical nurse in Garfield Hts, Ohio, licensed in Ohio (139495) and active in the NPI registry since January 2019.

NPPES Registry Identity

NPI1295209005
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameSECISHA MARIE HERNDON
Location Address4903 E 96TH STGarfield Hts, OH 44125-2117
Mailing Address13708 Alvin AveGarfield Hts, OH 44105-7118 · (216) 673-1461
Sole ProprietorYes
Enumeration DateJanuary 15, 2019
Last NPPES UpdateMay 19, 20212 updates tracked since enumeration
NPPES CertifiedMay 19, 2021
NPI 1295209005 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 OH · 139495
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.

4903 E 96TH ST, Garfield Hts, OH 44125

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1295209005, enumerated as an "individual" on January 15, 2019.

The provider is located at 4903 E 96TH ST GARFIELD HTS, OH 44125 and the phone number is (216) 673-1461.

Licensed Practical Nurse with taxonomy code 164W00000X.