Individual provider · Type 1 NPI

Jennifer Marie Scanlon

Licensed Practical Nurse · Holbrook, NY

NPI number 1104253335 Active

Practice location

239 Kerry St
Holbrook, NY 11741-3817

Call (631) 335-4213 Map

Mailing address

23 Woods Ln
Centereach, NY 11720-2517

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X315519-1 (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 1104253335

Jennifer Marie Scanlon's National Provider Identifier is 1104253335, issued on Oct 2, 2013. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Holbrook, NY. The record was last updated on Oct 2, 2013.