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MR. DAMON PENDYGRAFT LPN
NPI 1831719061
Licensed Practical Nurse in Flint, MI

Active since April 17, 2020
1925 LINCOLN DR, FLINT, MI 48503(870) 490-2625 Get Directions Write a Review

NPPES record last updated: April 17, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mr. Damon Pendygraft Lpn NPPES

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

MR. DAMON PENDYGRAFT LPN (NPI 1831719061) is an individual licensed practical nurse in Flint, Michigan, licensed in Michigan (4703095631) and active in the NPI registry since April 2020.

NPPES Registry Identity

NPI1831719061
Entity TypeIndividualMale
Primary Taxonomy164W00000X
Provider Legal NameMR. DAMON PENDYGRAFTCredential: LPN
Location Address1925 LINCOLN DRFlint, MI 48503-4718
Mailing Address1925 Lincoln DrFlint, MI 48503-4718 · (870) 490-2625
Phone(870) 490-2625
Sole ProprietorNo
Enumeration DateApril 17, 2020
NPPES CertifiedApril 17, 2020
✔ NPI 1831719061 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 · 4703095631
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.

1925 LINCOLN DR, Flint, MI 48503
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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 Damon Pendygraft's NPI number?

The NPI number for Damon Pendygraft is 1831719061. It was assigned to this individual provider in the NPPES registry on April 17, 2020.

Where is Damon Pendygraft located?

Damon Pendygraft practices at 1925 Lincoln Dr, Flint, MI 48503. The listed phone number is (870) 490-2625.

What is Damon Pendygraft'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 Damon Pendygraft was last updated on April 17, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.