National Provider Identifier

Shavon Caress Mason, LPN

Shavon Caress Mason, LPN is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Rochester, NY and a listed phone number of (585) 694-5923.

NPI 1477128403Rochester, NYLicensed Practical Nurse

Profile Overview

NPI
1477128403
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
May 21, 2021
Last Updated
May 21, 2021

Practice Location

  • 957 Garson Ave
  • Rochester, NY 14609-6520

Phone: (585) 694-5923

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1477128403
Entity Type
Individual
Last Name
Mason
First Name
Shavon
Middle Name
Caress
Credential
LPN
Mailing Street Address
957 Garson Ave
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14609-6520
Mailing Country
US
Mailing Phone
(585) 694-5923
Practice Street Address
957 Garson Ave
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14609-6520
Practice Country
US
Practice Phone
(585) 694-5923
Enumeration Date
May 21, 2021
Last Updated
May 21, 2021
Sex
Female
Sole Proprietor
Yes
Certification Date
May 21, 2021
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)