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Mrs. Jacqueline L Brasie, LPN
Licensed Practical Nurse in Chittenango, New York
NPI 1629146618

Jacqueline L Brasie is a Licensed Practical Nurse based in Chittenango, NY. Jacqueline L Brasie practices in Chittenango, NY and has the professional credentials of LPN. The NPI Number for Jacqueline L Brasie is 1629146618 and holds a License No. 256871-1 (New York).

The current practice location address for Jacqueline L Brasie is 5740 State Route 13, Chittenango, NY and can be reached out via phone at 315-655-2043 and via fax at 315-655-2043.

Location: 5740 State Route 13, Chittenango, NY, 13037-4101
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1629146618
Provider Name
Jacqueline L Brasie
Credential
LPN
Provider Entity Type
Individual
Gender
Female
Address
5740 State Route 13, Chittenango, NY, 13037-4101
Phone Number
315-655-2043
Fax Number
315-655-2043
Provider Enumeration Date
11/30/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
02198103 05 NY
institution
Provider Business Practice Location Address Details
Address
5740 State Route 13
City
Chittenango
State
New York
Zip
13037-4101
Phone Number
315-655-2043
Fax Number
315-655-2043
person
Provider Business Mailing Address Details
Address
5740 State Route 13
City
Chittenango
State
New York
Zip
13037-4101
Phone Number
315-655-2043
Fax Number
315-655-2043
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
256871-1 (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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