Jamie Marie Diehl, LPN
Individual provider Active NPI Licensed Practical Nurse · Ticonderoga, NY
NPI 1144527698 · NPPES record last updated Feb 18, 2011
Key facts
- NPI
- 1144527698
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- 304861-1 (NY)
- Practice address
- 895 Nys Route 9N
Ticonderoga, NY 12883-3207 - Phone
- (518) 569-0912
- NPI assigned
- Feb 18, 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 |
|---|---|---|---|
| 304861-1 | NY | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 304861-1 | NY | Yes |
Addresses
Primary practice location
895 Nys Route 9N
Ticonderoga, NY 12883-3207
Mailing address
PO Box 580
Ticonderoga, NY 12883-0580
Phone (518) 569-0912
Other providers in Ticonderoga, NY
- Philip L Crank Jr.
- Pragya Datt
- Thomas Jay Decker I
- Vanessa Defayette
- Diana J Eisenberg
- Mary Alice Dolbeck
- Jodi Drinkwine
- Robin Lee Dufault
- Cornelia Sue Freyhofer
- James O Gabler
All providers in Ticonderoga, 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 Feb 18, 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.