Individual provider · Type 1 NPI

Kennicha Jamison

Licensed Practical Nurse · Syracuse, NY

NPI number 1740628569 Active

Practice location

3300 James Street, Suite 201
Syracuse, NY 13206-2392

Call (315) 437-4500 Map

Fax (315) 437-1632

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X298457-1 (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 1740628569

Kennicha Jamison's National Provider Identifier is 1740628569, issued on Jun 14, 2013. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Syracuse, NY. The record was last updated on Jun 14, 2013.