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Jaclyn Anne Johnson
Licensed Practical Nurse in Poughkeepsie, New York
NPI 1013555812

Jaclyn Anne Johnson is a Licensed Practical Nurse based in Poughkeepsie, NY. Jaclyn Anne Johnson practices in Poughkeepsie, NY. The NPI Number for Jaclyn Anne Johnson is 1013555812 and holds a License No. 322960 (New York).

The current practice location address for Jaclyn Anne Johnson is 370 Cedar Valley Rd, Poughkeepsie, NY and can be reached out via phone at 845-625-4567. You can also correspond with Jaclyn Anne Johnson through the mailing address at 370 CEDAR VALLEY RD, POUGHKEEPSIE, NY - 12603 (mailing address contact number: 845-625-4567).

Location: 370 Cedar Valley Rd, Poughkeepsie, NY, 12603
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1013555812
Provider Name
Jaclyn Anne Johnson
Credential
Provider Entity Type
Individual
Gender
Female
Address
370 Cedar Valley Rd, Poughkeepsie, NY, 12603
Phone Number
845-625-4567
Fax Number
Provider Enumeration Date
12/12/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
322960 05 NY
institution
Provider Business Practice Location Address Details
Address
370 Cedar Valley Rd
City
Poughkeepsie
State
New York
Zip
12603
Phone Number
845-625-4567
Fax Number
person
Provider Business Mailing Address Details
Address
370 Cedar Valley Rd
City
Poughkeepsie
State
New York
Zip
12603
Phone Number
845-625-4567
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
322960 (New York)
Definition
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
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