Individual provider · Type 1 NPI

Jessica Gonzalez

Licensed Practical Nurse · Ronkonkoma, NY

NPI number 1649520503 Active

Practice location

3 Willow Pl
Ronkonkoma, NY 11779-2223

Call (516) 424-8867 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X310456-1 (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 1649520503

Jessica Gonzalez's National Provider Identifier is 1649520503, issued on Sep 18, 2012. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Ronkonkoma, NY. The record was last updated on Sep 18, 2012.