Lacresha Danyell Youngblood, - Licensed Practical Nurse in Tyler, TX

Lacresha Danyell Youngblood, is a Licensed Practical Nurse based in Tyler, Texas. Lacresha Danyell Youngblood is licensed to practice in Arkansas (license number L043813) and her current practice location is 755 S Beckham Ave, Tyler, Texas. She can be reached at her office (for appointments etc.) via phone at (903) 534-4684.

NPI number for Lacresha Danyell Youngblood is 1437659125 and her current mailing address is 2801 Bill Owens Pkwy Apt 203, Longview, Texas. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1437659125.

Contact Information

Lacresha Danyell Youngblood,
755 S Beckham Ave,
Tyler, TX 75701-1903
(903) 534-4684
Not Available



Provider's Profile

Full NameLacresha Danyell Youngblood
GenderFemale
SpecialityLicensed Practical Nurse
Location755 S Beckham Ave, Tyler, Texas
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1437659125
  • Provider Enumeration Date: 02/19/2018
  • Last Update Date: 02/19/2018

Medical Identifiers

Medical identifiers for Lacresha Danyell Youngblood such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1437659125NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
164W00000XLicensed Practical Nurse L043813 (Arkansas)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Lacresha Danyell Youngblood is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Lacresha Danyell Youngblood,
2801 Bill Owens Pkwy Apt 203,
Longview, TX 75605-2169

Ph: (903) 490-6430
Lacresha Danyell Youngblood,
755 S Beckham Ave,
Tyler, TX 75701-1903

Ph: (903) 534-4684

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› Verified 4 days ago


Licensed Practical Nurse Nurses in Tyler, TX

Tiffany Williams,
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 9846 Hwy 31 E, Tyler, TX 75705
Phone: 903-592-8001    
Kimberly Mills,
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 9846 Hwy 31 E, Tyler, TX 75705
Phone: 903-592-8001    
Vongretshun Smith-gross,
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 9846 Hwy 31 E, Tyler, TX 75705
Phone: 903-525-3801    Fax: 903-525-3858
Mary Craddock,
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 9846 Hwy 31 E, Tyler, TX 75705
Phone: 903-525-3995    Fax: 903-525-3858
Vickie Denise Brown, LVN
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 755 S Beckham Ave, Tyler, TX 75701
Phone: 903-534-4684    
Pennye Sheridan,
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 755 S Beckham Ave, Tyler, TX 75701
Phone: 903-534-4684    
Mary Farrar,
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 755 S Beckham Ave, Tyler, TX 75701
Phone: 903-534-4684    

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