IndividualActive
Dequesha Whitelaw
NPI 1255158333 · Licensed Practical Nurse · Tuscaloosa, AL
Provider details
- NPI number
- 1255158333
- Entity type
- Individual
- Primary specialty
- Licensed Practical NurseNursing Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 2-074329 (AL)
Specialties & taxonomies
Nursing Service Providers
Practice location
12 Juanita Dr
Tuscaloosa, AL 35404-3210
Phone: (205) 887-6409
Approximate (ZIP-level) locationGet directions
Mailing address
12 Juanita Dr
Tuscaloosa, AL 35404-3210
Registry dates
- Enumerated
- 2024-09-20
- Last updated
- 2024-09-20
- Certified
- 2024-09-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.