Individual provider · Type 1 NPI

Mavis Jennings

Registered Nurse · Valley Stream, NY

NPI number 1114253044 Active

Practice location

53 Wingate Rd
Valley Stream, NY 11581-2947

Specialties and licenses

Taxonomy	Code	License
Registered Nurse Primary	163W00000X	563480 (NY)

Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…

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About NPI 1114253044

Mavis Jennings's National Provider Identifier is 1114253044, issued on Oct 28, 2009. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Valley Stream, NY. The record was last updated on Oct 28, 2009.