Individual provider · Type 1 NPI
Jade Hull, CMA, LPN
Licensed Practical Nurse · Deer Park, NY
NPI number
1124994256
Active
Practice location
90 E 4th St
Deer Park, NY 11729-4308
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Licensed Practical Nurse Primary | 164W00000X | 354202 (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 1124994256
Jade Hull, CMA, LPN's National Provider Identifier is 1124994256, issued on Oct 15, 2025. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Deer Park, NY. The record was last updated on Oct 15, 2025.