Individual provider · Type 1 NPI

Kethline Jean Dacisse

Gerontology Registered Nurse · Hempstead, NY

NPI number 1225615685 Active

Practice location

800 Front St
Hempstead, NY 11550-4600

Mailing address

11 Whaley St
Freeport, NY 11520-4920

Specialties and licenses

TaxonomyCodeLicense
Gerontology Registered Nurse Primary 163WG0600X481694 (NY)

Gerontology Registered Nurse: Definition to come...

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About NPI 1225615685

Kethline Jean Dacisse's National Provider Identifier is 1225615685, issued on Mar 24, 2021. The primary taxonomy on file is Gerontology Registered Nurse (163WG0600X), and the practice location is in Hempstead, NY. The record was last updated on Mar 24, 2021.