Individual provider · Type 1 NPI

Leslie Raphaelle Balogun

Registered Nurse · Jamaica, NY

NPI number 1336068428 Active

Practice location

17114 103rd Rd
Jamaica, NY 11433-1708

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse Primary 163W00000XN42753 (NY)

Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…

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About NPI 1336068428

Leslie Raphaelle Balogun's National Provider Identifier is 1336068428, issued on Jul 13, 2026. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Jamaica, NY. The record was last updated on Jul 13, 2026.