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Jeriica Kelly Weatherup
Licensed Practical Nurse in Watertown, New York
NPI 1063281558

Jeriica Kelly Weatherup is a Licensed Practical Nurse based in Watertown, NY. Jeriica Kelly Weatherup practices in Watertown, NY. The NPI Number for Jeriica Kelly Weatherup is 1063281558 and holds a License No. 321769 (New York).

The current practice location address for Jeriica Kelly Weatherup is 650 State Street, Watertown, NY and can be reached out via phone at 315-755-1251 and via fax at 315-291-6601.

Location: 650 State Street, Watertown, NY, 13601-2451
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1063281558
Provider Name
Jeriica Kelly Weatherup
Credential
Provider Entity Type
Individual
Gender
Female
Address
650 State Street, Watertown, NY, 13601-2451
Phone Number
315-755-1251
Fax Number
315-291-6601
Provider Enumeration Date
12/26/2023
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
321769 01 NY LICENSED PRACTICAL NURSE
institution
Provider Business Practice Location Address Details
Address
650 State Street
City
Watertown
State
New York
Zip
13601-1251
Phone Number
315-755-1251
Fax Number
315-291-6601
person
Provider Business Mailing Address Details
Address
650 State Street
City
Watertown
State
New York
Zip
13601-1251
Phone Number
315-755-1251
Fax Number
315-291-6601
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
321769 (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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