Jennifer Jill McKevitt, LPN
Licensed Practical Nurse in Shirley, NY. Individual provider (NPI-1).
NPI number1982132064
StatusActive
Last updated in NPPESJun 1, 2017
Details
- NPI
- 1982132064
- Entity type
- Individual (NPI-1)
- Name
- Jennifer Jill McKevitt
- Credential
- LPN
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 1, 2017
- Last updated
- Jun 1, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | 328078-1 | NY | Yes |
Practice location
28 Oakwood DrShirley, NY 11967-3941
Phone 631-399-4969
Mailing address
28 Oakwood DrShirley, NY 11967-3941
Phone 631-399-4969
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