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Michaelle Jean
Licensed Practical Nurse in Pomona, New York
NPI 1699151175

Michaelle Jean is a Licensed Practical Nurse based in Pomona, NY. Michaelle Jean practices in Pomona, NY. The NPI Number for Michaelle Jean is 1699151175 and holds a License No. 317703-1 (New York).

The current practice location address for Michaelle Jean is 229 Route 202 Apt 2G, Pomona, NY and can be reached out via phone at 845-746-3271.

Location: 229 Route 202 Apt 2G, Pomona, NY, 10970-2600
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1699151175
Provider Name
Michaelle Jean
Credential
Provider Entity Type
Individual
Gender
Female
Address
229 Route 202 Apt 2G, Pomona, NY, 10970-2600
Phone Number
845-746-3271
Fax Number
Provider Enumeration Date
08/06/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0129070623 05 NY
1234567890 01 MEDICAID , MEDICARE
institution
Provider Business Practice Location Address Details
Address
229 Route 202 Apt 2G
City
Pomona
State
New York
Zip
10970-2600
Phone Number
845-746-3271
Fax Number
person
Provider Business Mailing Address Details
Address
229 Route 202 Apt 2G
City
Pomona
State
New York
Zip
10970-2600
Phone Number
845-746-3271
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
317703-1 (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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