Jessie James Dwyer, LPN
Individual provider Active NPI Licensed Practical Nurse · Memphis, NY
NPI 1497982367 · NPPES record last updated Jun 17, 2009
Key facts
- NPI
- 1497982367
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- 294649-1 (NY)
- Practice address
- 1120 Morgan Rd
Memphis, NY 13112-8717 - Phone
- (315) 708-2291
- NPI assigned
- Jun 17, 2009
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|
| 294649-1 | NY | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 294649-1 | NY | Yes |
Addresses
Primary practice location
1120 Morgan Rd
Memphis, NY 13112-8717
Mailing address
1120 Morgan Rd
Memphis, NY 13112-8717
Phone (315) 708-2291
Other providers in Memphis, NY
- Abbatrans, LLC.
- Sarah A Brouty
- Erica Troia Comstock
- Amanda L Fredette
- Amy Lynne Miller
- Johanna Whitney Povlock
- Cheryl Lynn Race-Robinson
- Joan M. Reid
All providers in Memphis, 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 17, 2009. 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.