Individual provider · Type 1 NPI

Charlese Ji-Ara Pannell

Licensed Practical Nurse · Bellport, NY

NPI number 1912257288 Active

Practice location

61 Beaverdam Road
Bellport, NY 11713-2125

Call (631) 803-8327 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X310526 (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 1912257288

Charlese Ji-Ara Pannell's National Provider Identifier is 1912257288, issued on Sep 14, 2012. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Bellport, NY. The record was last updated on Sep 14, 2012.