Jocelyn Nichole Kitchen, LPN

Individual provider Active NPI Licensed Practical Nurse · Anchorage, AK

NPI 1477898666 · NPPES record last updated Nov 29, 2012

Key facts

NPI
1477898666
Entity type
Individual (NPI type 1)
Primary specialty
Licensed Practical Nurse 164W00000X
License
6441 (AK)
Practice address
711 H St Ste 100
Anchorage, AK 99501-3464
Phone
(907) 770-0862
Fax
(907) 770-1730
NPI assigned
Nov 29, 2012
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

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
6441AKMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Maxim Healthcare Services Inc Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 6441 AK Yes

Addresses

Primary practice location

711 H St Ste 100
Anchorage, AK 99501-3464

Mailing address

711 H St Ste 100
Anchorage, AK 99501-3464
Phone (907) 770-0862

Other providers in Anchorage, AK

All providers in Anchorage, AK · Licensed Practical Nurse in Alaska

Sources for this page

Verify at the official NPI Registry.