Jennifer A Germain, LPN
Licensed Practical Nurse in Coram, NY. Individual provider (NPI-1).
NPI number1982182713
StatusActive
Last updated in NPPESAug 2, 2018
Details
- NPI
- 1982182713
- Entity type
- Individual (NPI-1)
- Name
- Jennifer A Germain
- Credential
- LPN
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 2, 2018
- Last updated
- Aug 2, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | 332286-1 | NY | Yes |
Practice location
39 Pine RdCoram, NY 11727-2255
Phone 631-846-9837
Mailing address
39 Pine RdCoram, NY 11727-2255
Phone 631-846-9837
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