Individual provider · Type 1 NPI

Jaclyn Anne Johnson

Licensed Practical Nurse · Poughkeepsie, NY

NPI number 1013555812 Active

Practice location

370 Cedar Valley Rd
Poughkeepsie, NY 12603

Call (845) 625-4567 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X322960 (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.

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About NPI 1013555812

Jaclyn Anne Johnson's National Provider Identifier is 1013555812, issued on Dec 12, 2019. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Poughkeepsie, NY. The record was last updated on Dec 12, 2019.