Individual provider · Type 1 NPI

Phylicia Walters

Licensed Practical Nurse · Jamaica, NY

NPI number 1881548972 Active

Practice location

17613 93rd Ave
Jamaica, NY 11433-1327

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X277231-01 (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 1881548972

Phylicia Walters's National Provider Identifier is 1881548972, issued on Feb 24, 2026. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Jamaica, NY. The record was last updated on Feb 24, 2026.