Individual provider · Type 1 NPI

Jedonne Mitcham

Licensed Practical Nurse · East Patchogue, NY

NPI number 1538034434 Active

Practice location

245 Hagerman Ave
East Patchogue, NY 11772-5580

Call (201) 560-3273 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X353444 (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 1538034434

Jedonne Mitcham's National Provider Identifier is 1538034434, issued on Oct 9, 2025. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in East Patchogue, NY. The record was last updated on Oct 9, 2025.