Individual provider · NPI-1

Melissa Jockers

Licensed Practical Nurse · Islandia, NY

NPI number1487033130
StatusActive
Last updated in NPPESMay 28, 2015

Details

NPI
1487033130
Entity type
Individual (NPI-1)
Name
Melissa Jockers
Sex
Female
Sole proprietor
Yes
Enumeration date
May 28, 2015
Last updated
May 28, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
164W00000X Licensed Practical Nurse291077NYYes

Practice location

144 Silverleaf Ln
Islandia, NY 11749-1607

Phone 631-626-3383

Mailing address

144 Silverleaf Ln
Islandia, NY 11749-1607

Phone 631-626-3383

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