Raven Kiara Lee, LPN - Licensed Practical Nurse in Southaven, MS

Raven Kiara Lee, LPN is a Licensed Practical Nurse based in Southaven, Mississippi. Raven Kiara Lee is licensed to practice in Mississippi (license number 329980) and her current practice location is 340 Stateline Rd W, Southaven, Mississippi. She can be reached at her office (for appointments etc.) via phone at (662) 579-3955.

NPI number for Raven Kiara Lee is 1124607908 and her current mailing address is 6681 Boylston Dr, Memphis, Tennessee. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1124607908.

Contact Information

Raven Kiara Lee, LPN
340 Stateline Rd W,
Southaven, MS 38671-1610
(662) 579-3955
Not Available



Provider's Profile

Full NameRaven Kiara Lee
GenderFemale
SpecialityLicensed Practical Nurse
Location340 Stateline Rd W, Southaven, Mississippi
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1124607908
  • Provider Enumeration Date: 04/07/2021
  • Last Update Date: 04/07/2021

Medical Identifiers

Medical identifiers for Raven Kiara Lee such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1124607908NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
164W00000XLicensed Practical Nurse 329980 (Mississippi)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. Raven Kiara Lee 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
Raven Kiara Lee, LPN
6681 Boylston Dr,
Memphis, TN 38141-0770

Ph: (901) 759-8482
Raven Kiara Lee, LPN
340 Stateline Rd W,
Southaven, MS 38671-1610

Ph: (662) 579-3955

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› Verified 2 days ago


Licensed Practical Nurse Nurses in Southaven, MS

Daphane Brown,
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 340 Stateline Rd W, Southaven, MS 38671
Phone: 661-510-5387    
Ms. Jakeya Geter, LPN
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 5905 Airways Blvd Bldg 229-4, Southaven, MS 38671
Phone: 901-338-2888    
Ms. Melinda B Nix, LPN
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 7976 Chesterfield Dr S, Southaven, MS 38671
Phone: 662-280-5547    Fax: 662-280-5165
Nikii Vales, LPN
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 340 Stateline Rd W, Southaven, MS 38671
Phone: 877-969-2157    

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