Ms. Jillian Alexa Rae Peralta, LPN - Coram, NY

Ms. Jillian Alexa Rae Peralta, LPN

Licensed Practical Nurse in Coram, New York

NPI 1649604190

Jillian Alexa Rae Peralta is a Licensed Practical Nurse based in Coram, NY. Jillian Alexa Rae Peralta practices in Coram, NY and has the professional credentials of LPN. The NPI Number for Jillian Alexa Rae Peralta is 1649604190 and holds a License No. 315188 (New York).

The current practice location address for Jillian Alexa Rae Peralta is 48 Federal Ln, Coram, NY and can be reached out via phone at 646-596-6128.

Location: 48 Federal Ln, Coram, NY, 11727-1618

NPI Number

1649604190

Provider Name

Jillian Alexa Rae Peralta

Credential

LPN

Provider Entity Type

Individual

Gender

Female

Address

48 Federal Ln, Coram, NY, 11727-1618

Phone Number

646-596-6128

Fax Number

Provider Enumeration Date

09/01/2013

Last Update Date

03/09/2024

Address

48 Federal Ln

City

Coram

State

New York

Zip

11727-1618

Phone Number

646-596-6128

Fax Number

Address

48 Federal Ln

City

Coram

State

New York

Zip

11727-1618

Phone Number

646-596-6128

Fax Number

Type

Nursing Service Providers

Classification

Licensed Practical Nurse

Speciality

Taxonomy

164W00000X

License No.

315188 (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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