Individual provider · Type 1 NPI

Jeriica Kelly Weatherup

Licensed Practical Nurse · Watertown, NY

NPI number 1063281558 Active

Practice location

650 State Street
Watertown, NY 13601-1251

Fax (315) 291-6601

Mailing address

114 Scio St
Watertown, NY 13601-2451

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X321769 (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 1063281558

Jeriica Kelly Weatherup's National Provider Identifier is 1063281558, issued on Dec 26, 2023. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Watertown, NY. The record was last updated on Dec 26, 2023.