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Jessica Anna Marriam, LPN
Licensed Practical Nurse in Caledonia, New York
NPI 1174963938

Jessica Anna Marriam is a Licensed Practical Nurse based in Caledonia, NY. Jessica Anna Marriam practices in Caledonia, NY and has the professional credentials of LPN. The NPI Number for Jessica Anna Marriam is 1174963938 and holds a License No. 311010 (New York).

The current practice location address for Jessica Anna Marriam is 305 Leicester St, Caledonia, NY and can be reached out via phone at 585-705-3588.

Location: 305 Leicester St, Caledonia, NY, 14423-1205
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1174963938
Provider Name
Jessica Anna Marriam
Credential
LPN
Provider Entity Type
Individual
Gender
Female
Address
305 Leicester St, Caledonia, NY, 14423-1205
Phone Number
585-705-3588
Fax Number
Provider Enumeration Date
06/26/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
311010 01 NY LICENSE
institution
Provider Business Practice Location Address Details
Address
305 Leicester St
City
Caledonia
State
New York
Zip
14423-1205
Phone Number
585-705-3588
Fax Number
person
Provider Business Mailing Address Details
Address
305 Leicester St
City
Caledonia
State
New York
Zip
14423-1205
Phone Number
585-705-3588
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
311010 (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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