Individual provider · Type 1 NPI

Jessica Intravaia, LPN

Licensed Practical Nurse · Shirley, NY

NPI number 1245665983 Active

Practice location

102 Auborn Ave
Shirley, NY 11967-1738

Call (631) 566-8338 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X292663-1 (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 1245665983

Jessica Intravaia, LPN's National Provider Identifier is 1245665983, issued on Sep 12, 2013. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Shirley, NY. The record was last updated on Sep 12, 2013.