Individual provider · Type 1 NPI

Edjeanine Boucicault, LPN

Licensed Practical Nurse · Lake Ronkonkoma, NY

NPI number 1912624115 Active

Practice location

153 Lake Shore Rd
Lake Ronkonkoma, NY 11779-3193

Call (631) 522-6876 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X332414-1 (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.

8 other providers at this address

Other licensed practical nurse providers in Lake Ronkonkoma

See all in Lake Ronkonkoma →

About NPI 1912624115

Edjeanine Boucicault, LPN's National Provider Identifier is 1912624115, issued on Oct 27, 2022. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Lake Ronkonkoma, NY. The record was last updated on Oct 27, 2022.