Provider Demographics
NPI:1639041510
Name:TOWNSEND, LATISHA POLLYETTE (REGISTERED NURSE)
Entity type:Individual
Prefix:MS
First Name:LATISHA
Middle Name:POLLYETTE
Last Name:TOWNSEND
Suffix:
Gender:F
Credentials:REGISTERED NURSE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:203 W HARRISON ST
Mailing Address - Street 2:
Mailing Address - City:DILLON
Mailing Address - State:SC
Mailing Address - Zip Code:29536-3309
Mailing Address - Country:US
Mailing Address - Phone:843-758-1788
Mailing Address - Fax:
Practice Address - Street 1:203 W HARRISON ST
Practice Address - Street 2:
Practice Address - City:DILLON
Practice Address - State:SC
Practice Address - Zip Code:29536-3309
Practice Address - Country:US
Practice Address - Phone:843-758-1788
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-09-22
Last Update Date:2025-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide