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Tanisha Dominique Jean
Licensed Practical Nurse in Valley Stream, New York
NPI 1649686619

Tanisha Dominique Jean is a Licensed Practical Nurse based in Valley Stream, NY. Tanisha Dominique Jean practices in Valley Stream, NY. The NPI Number for Tanisha Dominique Jean is 1649686619 and holds a License No. 316761 (New York).

The current practice location address for Tanisha Dominique Jean is 13 Cleveland St, Valley Stream, NY and can be reached out via phone at 212-677-8666.

Location: 13 Cleveland St, Valley Stream, NY, 11580-0000
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1649686619
Provider Name
Tanisha Dominique Jean
Credential
Provider Entity Type
Individual
Gender
Female
Address
13 Cleveland St, Valley Stream, NY, 11580-0000
Phone Number
212-677-8666
Fax Number
Provider Enumeration Date
07/10/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
316761 01 NY 316761
institution
Provider Business Practice Location Address Details
Address
13 Cleveland St
City
Valley Stream
State
New York
Zip
11580-6003
Phone Number
212-677-8666
Fax Number
person
Provider Business Mailing Address Details
Address
13 Cleveland St
City
Valley Stream
State
New York
Zip
11580-6003
Phone Number
212-677-8666
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
316761 (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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