Individual provider · Type 1 NPI

Jillian Alexa Rae Peralta, LPN

Licensed Practical Nurse · Coram, NY

NPI number 1649604190 Active

Practice location

48 Federal Ln
Coram, NY 11727-1618

Call (646) 596-6128 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X315188 (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 1649604190

Jillian Alexa Rae Peralta, LPN's National Provider Identifier is 1649604190, issued on Sep 1, 2013. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Coram, NY. The record was last updated on Sep 1, 2013.