Individual provider · Type 1 NPI

Jessie Ippolito

Licensed Practical Nurse · Bohemia, NY

NPI number 1124475587 Active

Practice location

721 Ocean Ave
Bohemia, NY 11716-3613

Call (516) 779-0049 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X325292-1 (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 1124475587

Jessie Ippolito's National Provider Identifier is 1124475587, issued on May 16, 2016. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Bohemia, NY. The record was last updated on Jan 16, 2018.