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Destiny Jenny Wilson
Licensed Practical Nurse in Elmont, New York
NPI 1083193163

Destiny Jenny Wilson is a Licensed Practical Nurse based in Elmont, NY. Destiny Jenny Wilson practices in Elmont, NY. The NPI Number for Destiny Jenny Wilson is 1083193163 and holds a License No. 332316-1 (New York).

The current practice location address for Destiny Jenny Wilson is 9 Hillsboro Ave, Elmont, NY and can be reached out via phone at 516-406-9827.

Location: 9 Hillsboro Ave, Elmont, NY, 11003-1724
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1083193163
Provider Name
Destiny Jenny Wilson
Credential
Provider Entity Type
Individual
Gender
Female
Address
9 Hillsboro Ave, Elmont, NY, 11003-1724
Phone Number
516-406-9827
Fax Number
Provider Enumeration Date
08/09/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
DD95393T 05 NY
institution
Provider Business Practice Location Address Details
Address
9 Hillsboro Ave
City
Elmont
State
New York
Zip
11003-1724
Phone Number
516-406-9827
Fax Number
person
Provider Business Mailing Address Details
Address
9 Hillsboro Ave
City
Elmont
State
New York
Zip
11003-1724
Phone Number
516-406-9827
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
332316-1 (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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