Jill Ryan
Individual provider Active NPI Licensed Practical Nurse · Cleveland, NY
NPI 1114212487 · NPPES record last updated Jun 15, 2011
Key facts
- NPI
- 1114212487
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- 293489 (NY)
- Practice address
- 260 State Route 49
Cleveland, NY 13042-2206 - Phone
- (315) 476-0600
- NPI assigned
- Jun 15, 2011
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 293489 | NY | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 293489 | NY | Yes |
Addresses
Primary practice location
260 State Route 49
Cleveland, NY 13042-2206
Mailing address
260 State Route 49
Cleveland, NY 13042-2206
Other providers in Cleveland, NY
- Jo Ann Elizabeth Marsala-Goettel
- Lisa Lynn Miller
- Kevin Montross
- Chance Nickerson
- North Shore Volunteer Emergency Squad Inc
- Colleen Smith
- Christine M Tancredi
- Angela S Whitby
- Theresa Jean White
All providers in Cleveland, NY · Licensed Practical Nurse in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 15, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.