Active NPIIndividual provider

Ms. Julissa Dejesus, LPN

Licensed Practical Nurse in Middletown, New York

NPI Number1740573914
Practice location
49 Ruth CT, Middletown, Middletown, NY 10940-5329
Fax
—
Last updated
May 22, 2011

Julissa Dejesus is a Licensed Practical Nurse based in Middletown, NY. Julissa Dejesus practices in Middletown, NY and has the professional credentials of LPN. The NPI Number for Julissa Dejesus is 1740573914 and holds a License No. 304728-1 (NY). The current practice location address for Julissa Dejesus is 49 Ruth CT, Middletown, Middletown, NY 10940-5329 and can be reached out via phone at 845-791-0451.

Provider Profile Details

NPI Number
1740573914
Provider Name
Julissa Dejesus
Credential
LPN
Provider Entity Type
Individual
Gender
Female
Address
49 Ruth CT, Middletown, Middletown, NY 10940-5329
Phone Number
845-791-0451
Primary Taxonomy
Licensed Practical Nurse · 164W00000X
Sole Proprietor
No
Provider Enumeration Date
May 22, 2011
Last Update Date
May 22, 2011
NPI Status
Active

Provider Business Practice Location Address Details

Address
49 Ruth CT
Middletown
Middletown, NY 10940-5329
Zip
10940-5329
Phone Number
845-791-0451
Middletown, NY 10940Get directions →

Provider Business Mailing Address Details

Address
49 Ruth CT
Middletown
Middletown, NY 10940-5329
City
Middletown
State
NY
Zip
10940-5329
Phone Number
845-791-0451

License Information

License Number
304728-1
License State
NY
Taxonomy
Licensed Practical Nurse · 164W00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Ms. Julissa Dejesus, LPN?

The NPI number of Ms. Julissa Dejesus, LPN is 1740573914. It was assigned on May 22, 2011 and is currently active in the NPPES registry.

What is the specialty of Ms. Julissa Dejesus, LPN?

Ms. Julissa Dejesus, LPN is registered under the primary taxonomy Licensed Practical Nurse (code 164W00000X), licensed in NY under license number 304728-1.

Where does Ms. Julissa Dejesus, LPN practice?

The practice location is 49 Ruth CT, Middletown, Middletown, NY 10940-5329. The office can be reached at 845-791-0451 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1740573914 directly on the NPPES registry website.

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