Individual provider · Type 1 NPI

Jasmine Frederique

Licensed Practical Nurse · Marlboro, NY

NPI number 1508770207 Active

Practice location

106 South St
Marlboro, NY 12542-5620

Call (845) 240-6849 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X328253 (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 1508770207

Jasmine Frederique's National Provider Identifier is 1508770207, issued on Sep 30, 2026. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Marlboro, NY. The record was last updated on Sep 30, 2026.