JESSICA DEKDEBRUN


Address: 201 Park Dr, Palmyra, NY 14522-1113
Phone: 3155974389

JESSICA DEKDEBRUN (NPI# 1619220662) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1619220662
Entity Type Individual
Full Name JESSICA DEKDEBRUN
Credential LPN
Practice Address 201 Park Dr
Palmyra
NY 14522-1113
Practice Telephone 3155974389
Enumeration Date 2012-10-16
Last Update Date 2012-10-16
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 164W00000X Licensed Practical Nurse 241207-1 NY Nursing Service Providers

Office Location

Street Address 201 PARK DR
City PALMYRA
State NY
Zip Code 14522-1113

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1689909863 Betsy Wray Hernandez Registered Nurse 3046 Sherwood Rd., Palmyra, NY 14522 2009-10-06
1639202815 Stacey Tinker Welch Social Worker 200 Church St, Suite 110, Palmyra, NY 14522 2007-03-14
1184767873 John Michael Masterson Jr. Dentist 402 W Main St, Palmyra, NY 14522-1004 2007-02-14
1538318050 Newport Medical, Pllc Clinic/Center 221 E Main St, Palmyra, NY 14522-1127 2008-09-09
1265446520 Malcolm M Riggs General Practice 201 E Main St, Palmyra, NY 14522-1127 2006-07-29
1396704060 Karen May Nickell Family Medicine 221 E Main St, Palmyra, NY 14522-1127 2006-03-21
1750820114 Amanda Wendt Pharmacist 214 E Main St, Palmyra, NY 14522-1128 2017-02-18
1144668559 Palmyra Pharmacy LLC Pharmacy 214 E Main St, Palmyra, NY 14522-1128 2013-06-07
1124263710 Denise Ann Jackson Specialist 204 E Main St, Palmyra, NY 14522-1128 2008-12-10
1275673030 Tonya Jean Decann Chiropractor 214 E Main St, Palmyra, NY 14522-1128 2007-02-08
Find all providers in zip 14522

Taxonomy Information

Taxonomy Code 164W00000X
Grouping Nursing Service Providers
Classification Licensed Practical Nurse

Taxonomy 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.
Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1740820810 Karla Ann Drain Licensed Practical Nurse 319 County Road 28, Palmyra, NY 14522-9403 2020-01-07
1922458504 Samantha Swift Licensed Practical Nurse 4182 Robb Hwy, Palmyra, MI 49268-9753 2016-06-15
1427391937 David Walter Huber Licensed Practical Nurse 1111 Canandaigua Rd, Palmyra, NY 14522-9305 2013-04-03
1881936201 Jodi Ann Ross Licensed Practical Nurse 120 Salzburg Vlg, Palmyra, NY 14522-1339 2013-03-24
1497023279 Crystal Lynn Millerd Licensed Practical Nurse 320 Vienna St, Palmyra, NY 14522-1516 2011-12-07
1801175930 Kamea Caster Licensed Practical Nurse 885 Canandaigua Rd, Palmyra, NY 14522-9701 2011-08-07
1003111360 Barbara L Renken Licensed Practical Nurse 388 N 10th Rd, Palmyra, NE 68418-4108 2011-01-18
1780816892 Amy Anne Powers Licensed Practical Nurse 3007 Newark Marion Rd, Palmyra, NY 14522-9331 2009-08-23
1760636757 Lauren Connolly Licensed Practical Nurse 2717 Maple Ave, Palmyra, NY 14522-9386 2008-11-04
1326290255 Lynda S. Fabino-delpapa Licensed Practical Nurse 2307 Lyon Rd, Palmyra, NY 14522-9329 2008-10-22
Find all providers in PALMYRA

Competitor

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City PALMYRA
Zip Code 14522

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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