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Individual
CHARLOTTE MCCOLLUM
Active
Individual
CHARLOTTE MCCOLLUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LVN,LPN
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
5195601
FL
164X00000X
Licensed Vocational Nurse
Primary
337622
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
337622
TEXAS BOARD OF NURSING
TX
01
—
5195601
STATE OF FL DEPT. OF HEALTH
FL
Enumeration date
12/18/2018
Last updated
12/18/2018
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