Billie Jean Gaskins, LPN

Individual provider Active NPI Licensed Practical Nurse · Roselle, NJ

NPI 1104344076 · NPPES record last updated Jul 21, 2022

Key facts

NPI
1104344076
Entity type
Individual (NPI type 1)
Primary specialty
Licensed Practical Nurse 164W00000X
License
26NP06410300 (NJ)
Practice address
792 E 3Rd Ave Apt 203
Roselle, NJ 07203-1633
Phone
(908) 242-1974
NPI assigned
Aug 31, 2017
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
26NP06410300NJMDLicensed Practical Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 26NP06410300 NJ Yes

Addresses

Primary practice location

792 E 3Rd Ave Apt 203
Roselle, NJ 07203-1633

Mailing address

792 E 3Rd Ave Apt 203
Roselle, NJ 07203-1633
Phone (908) 242-1974

Other providers in Roselle, NJ

All providers in Roselle, NJ · Licensed Practical Nurse in New Jersey

Sources for this page

Verify at the official NPI Registry.