Provider Demographics
NPI:1750853818
Name:GARNER, YAKENIA SHAMEL (LPN)
Entity Type:Individual
Prefix:MISS
First Name:YAKENIA
Middle Name:SHAMEL
Last Name:GARNER
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2207 DUNHAM ST
Mailing Address - Street 2:
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43609-1638
Mailing Address - Country:US
Mailing Address - Phone:419-283-2302
Mailing Address - Fax:
Practice Address - Street 1:2207 DUNHAM ST
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43609-1638
Practice Address - Country:US
Practice Address - Phone:419-283-2302
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-12-28
Last Update Date:2018-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH167447164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse