National Provider Identifier
Tshoma Jalise Bourne, LPN
Tshoma Jalise Bourne, 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) 733-9352.
Profile Overview
- NPI
- 1598555617
- Provider Type
- Individual
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- May 12, 2025
- Last Updated
- May 12, 2025
Practice Location
- 446 Clay Avenue
- Rochester, NY 14613
Phone: (585) 733-9352
Specialties
- Licensed Practical Nurse (164W00000X)
Full Record
- NPI
- 1598555617
- Entity Type
- Individual
- Last Name
- Bourne
- First Name
- Tshoma
- Middle Name
- Jalise
- Credential
- LPN
- Mailing Street Address
- 446 Clay Avenue
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14613
- Mailing Country
- US
- Mailing Phone
- (585) 733-9352
- Practice Street Address
- 446 Clay Avenue
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14613
- Practice Country
- US
- Practice Phone
- (585) 733-9352
- Enumeration Date
- May 12, 2025
- Last Updated
- May 12, 2025
- Sex
- Female
- Sole Proprietor
- Yes
- Certification Date
- May 12, 2025
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Licensed Practical Nurse (164W00000X)