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Jermaine Ricketts, LPN
Licensed Practical Nurse in Suffern, New York
NPI 1215239033

Jermaine Ricketts is a Licensed Practical Nurse based in Yonkers, NY. Jermaine Ricketts practices in Suffern, NY and has the professional credentials of LPN. The NPI Number for Jermaine Ricketts is 1215239033 and holds a License No. 290340 (New York).

The current practice location address for Jermaine Ricketts is 99 Washington Ave, Suffern, NY and can be reached out via phone at 845-357-4500 and via fax at 845-357-5039. You can also correspond with Jermaine Ricketts through the mailing address at 141 LIVINGSTON AVE, YONKERS, NY - 10705-2224 (mailing address contact number: 718-924-8290).

Location: 99 Washington Ave, Suffern, NY, 10705-2224
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1215239033
Provider Name
Jermaine Ricketts
Credential
LPN
Provider Entity Type
Individual
Gender
Male
Address
99 Washington Ave, Suffern, NY, 10705-2224
Phone Number
845-357-4500
Fax Number
845-357-5039
Provider Enumeration Date
11/30/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
99 Washington Ave
City
Suffern
State
New York
Zip
10901-6026
Phone Number
845-357-4500
Fax Number
845-357-5039
person
Provider Business Mailing Address Details
Address
141 Livingston Ave
City
Yonkers
State
New York
Zip
10705-2224
Phone Number
718-924-8290
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
290340 (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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