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Jason Parris
Licensed Practical Nurse in Lake Grove, New York
NPI 1023732658

Jason Parris is a Licensed Practical Nurse based in Lake Grove, NY. Jason Parris practices in Lake Grove, NY. The NPI Number for Jason Parris is 1023732658 and holds a License No. 312659-01 (New York).

The current practice location address for Jason Parris is 4 Eliot Dr, Lake Grove, NY and can be reached out via phone at 631-285-3105.

Location: 4 Eliot Dr, Lake Grove, NY, 11755-2512
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1023732658
Provider Name
Jason Parris
Credential
Provider Entity Type
Individual
Gender
Male
Address
4 Eliot Dr, Lake Grove, NY, 11755-2512
Phone Number
631-285-3105
Fax Number
Provider Enumeration Date
09/27/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4 Eliot Dr
City
Lake Grove
State
New York
Zip
11755-2512
Phone Number
631-285-3105
Fax Number
person
Provider Business Mailing Address Details
Address
4 Eliot Dr
City
Lake Grove
State
New York
Zip
11755-2512
Phone Number
631-285-3105
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
312659-01 (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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