Individual provider · Type 1 NPI

Jessica Lyn Decicco

Licensed Practical Nurse · Kerhonkson, NY

NPI number 1093354763 Active

Practice location

190 Cherrytown Rd Lot 12
Kerhonkson, NY 12446-2140

Call (845) 242-7956 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X258245 (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 1093354763

Jessica Lyn Decicco's National Provider Identifier is 1093354763, issued on Dec 30, 2019. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Kerhonkson, NY. The record was last updated on Dec 30, 2019.