Shanise Yvonne Petticord
Licensed Practical Nurse
5736 Audubon Rd, Detroit
Michigan, 48224-2665
313-624-1067
Shanise Yvonne Petticord is a Detroit, Michigan based nurse who is specialized as Licensed Practical Nurse (LPN). Active license number of Shanise Yvonne Petticord is 4703091434 for Licensed Practical Nurse (LPN) in Michigan. Current practice location of Shanise Yvonne Petticord is 5736 Audubon Rd, Detroit. Patients can reach her at 313-624-1067. Shanise Yvonne Petticord with specialization in Licensed Practical Nurse (LPN) and her NPI number (Unique professional ID assigned by NPPES) is 1700639101.
Shanise Yvonne Petticord is a state-licensed healthcare professional who provides basic nursing care to patients such as monitoring vitals, dressing wounds, and administering medication etc. under the supervision of a Registered Nurse (RN) or physician. LPNs are direct link between a patient, their family and their doctor and other providers. LPNs typically work in clinics, hospitals, nursing homes, rehabilitation centers, and home healthcare etc.
Complete Profile:
Shanise Yvonne Petticord speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Specialization: | Licensed Practical Nurse (LPN) |
| Gender: | Female |
| Practice Address: | 5736 Audubon Rd, Detroit,
Michigan, 48224-2665 |
| Phone: | 313-624-1067 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1700639101 |
| NPI Enumeration Date: | 08 Apr, 2024 |
| NPI Last Update On: | 08 Apr, 2024 |
Medical Licenses:
Nurses can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Shanise Yvonne Petticord are as mentioned below.
| License Number | Specialization | State | Status | |
| 4703091434 | Licensed Practical Nurse (LPN) | Michigan | Primary | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 5736 Audubon Rd,
Detroit, Michigan |
| Zip: | 48224-2665 |
| Phone Number: | 313-624-1067 |
Patients can reach Shanise Yvonne Petticord at
5736 Audubon Rd, Detroit, Michigan or can
call to book an appointment on 313-624-1067.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 February, 2026.