National Provider Identifier

Tequila Ivey, LPN

Tequila Ivey, 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) 503-6255.

NPI 1811355845Rochester, NYLicensed Practical Nurse

Source: public NPPES record, last updated February 04, 2016. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.

Profile Overview

NPI
1811355845
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
February 04, 2016
Last Updated
February 04, 2016

Practice Location

  • 1038 Plymouth Ave S
  • Rochester, NY 14608-2941

Phone: (585) 503-6255

Specialties

  • Licensed Practical Nurse (164W00000X)

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Biography

Tequila Ivey is a Rochester-based licensed practical nurse. Public New York licensure listings show her practical nursing license dating to 2013, and the New York State Board of Regents later listed Ivey among graduates who completed the A.A.S. nursing program at Rochester General College of Health Careers in 2025.

Full Record
NPI
1811355845
Entity Type
Individual
Last Name
Ivey
First Name
Tequila
Credential
LPN
Mailing Street Address
1038 Plymouth Ave S
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14608-2941
Mailing Country
US
Mailing Phone
(585) 503-6255
Practice Street Address
1038 Plymouth Ave S
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14608-2941
Practice Country
US
Practice Phone
(585) 503-6255
Enumeration Date
February 04, 2016
Last Updated
February 04, 2016
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)