Individual provider · Type 1 NPI

Jessica Pooda, LPN

Licensed Practical Nurse · Watertown, NY

NPI number 1740195460 Active

Practice location

611 W Main St
Watertown, NY 13601-1337

Call (315) 782-1777 Map

Mailing address

1215 Faichney Dr Apt 5
Watertown, NY 13601-1882

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X357455 (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.

15 other providers at this address

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About NPI 1740195460

Jessica Pooda, LPN's National Provider Identifier is 1740195460, issued on Aug 17, 2026. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Watertown, NY. The record was last updated on Aug 18, 2026.