Individual provider · Type 1 NPI

Olajumoke Fasan

Licensed Practical Nurse · Jamaica, NY

NPI number 1154771822 Active

Practice location

12011 144th St
Jamaica, NY 11436-1508

Call (718) 551-6838 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X276332 (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 1154771822

Olajumoke Fasan's National Provider Identifier is 1154771822, issued on Jun 14, 2016. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Jamaica, NY. The record was last updated on Jun 14, 2016.