Jolene McGowan
Individual provider Active NPI Licensed Practical Nurse · Marlboro, NY
NPI 1124438569 · NPPES record last updated May 7, 2014
Key facts
- NPI
- 1124438569
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- 318397-1 (NY)
- Practice address
- 392 Plattekill Rd
Marlboro, NY 12542-5810 - Phone
- (845) 248-7557
- NPI assigned
- May 7, 2014
- 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 |
|---|---|---|---|
| 318397-1 | NY | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 318397-1 | NY | Yes |
Addresses
Primary practice location
392 Plattekill Rd
Marlboro, NY 12542-5810
Mailing address
392 Plattekill Rd
Marlboro, NY 12542-5810
Phone (845) 248-7557
Other providers in Marlboro, NY
- Marlboro Central School District
- Kimberly Marsden
- Marie Frances Mazza
- Shannon McCartney
- Margaret Thurin McClure
- Jessica Mills
- Montefiore Medical Center
- Melinda Marie Montondo
- Amena M Murtuza
- Nicole M. Serini LMHC PLLC
All providers in Marlboro, 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 May 7, 2014. 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.