Individual provider · Type 1 NPI

Jacqueline Ingrid Kipp

Licensed Practical Nurse · Briarwood, NY

NPI number 1003410713 Active

Practice location

13802 Queens Blvd
Briarwood, NY 11435-2665

Mailing address

16731 109th Ave
Jamaica, NY 11433-2909

Other practice locations

  • 16731 109th Ave, Jamaica, NY 11433-2909 · (347) 251-7737

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X204822 (NY)

Licensed Practical Nurse: 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.

20 other providers at this address

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About NPI 1003410713

Jacqueline Ingrid Kipp's National Provider Identifier is 1003410713, issued on Nov 23, 2020. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Briarwood, NY. The record was last updated on Nov 23, 2020.