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

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X354202 (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.