Individual provider · Type 1 NPI

Jeniene Charmaine Lilly, LICENSED PRACTICAL N

Licensed Practical Nurse · Brooklyn, NY

NPI number 1982932240 Active

Practice location

2505 Tilden Ave., Suite 101
Brooklyn, NY 11226

Call (718) 941-4490 Map

Fax (718) 703-1716

Mailing address

994 Grant Ave (between 164 & 165th St.)
Bronx, NY 10456

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X095390-1 (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 1982932240

Jeniene Charmaine Lilly, LICENSED PRACTICAL N's National Provider Identifier is 1982932240, issued on Nov 25, 2009. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Brooklyn, NY. The record was last updated on Nov 25, 2009.