National Provider Identifier
Tisha Renee Percell, LPN
Tisha Renee Percell, LPN is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Jamestown, NY and a listed phone number of (845) 401-2906.
Profile Overview
- NPI
- 1174192777
- Provider Type
- Individual
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- June 18, 2021
- Last Updated
- June 19, 2021
Practice Location
- 90 Barrett Ave Apt 2
- Jamestown, NY 14701-6558
Phone: (845) 401-2906
Specialties
- Licensed Practical Nurse (164W00000X)
Full Record
- NPI
- 1174192777
- Entity Type
- Individual
- Last Name
- Percell
- First Name
- Tisha
- Middle Name
- Renee
- Credential
- LPN
- Mailing Street Address
- 90 Barrett Ave Apt 2
- Mailing City
- Jamestown
- Mailing State
- NY
- Mailing ZIP Code
- 14701-6558
- Mailing Country
- US
- Mailing Phone
- (845) 401-2906
- Practice Street Address
- 90 Barrett Ave Apt 2
- Practice City
- Jamestown
- Practice State
- NY
- Practice ZIP Code
- 14701-6558
- Practice Country
- US
- Practice Phone
- (845) 401-2906
- Enumeration Date
- June 18, 2021
- Last Updated
- June 19, 2021
- Sex
- Female
- Sole Proprietor
- Yes
- Taxonomy Group 1
- 193400000X Single Specialty Group
- Certification Date
- June 19, 2021
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Licensed Practical Nurse (164W00000X)