Jennifer Ann Hardy
Individual provider Active NPI Licensed Practical Nurse · Sloan, NY
NPI 1629322623 · NPPES record last updated Oct 30, 2012
Key facts
- NPI
- 1629322623
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- 296476-1 (NY)
- Practice address
- 61 Roland Street
Sloan, NY 14212-2306 - Phone
- (716) 563-6149
- NPI assigned
- Oct 30, 2012
- 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 |
|---|---|---|---|
| 296476-1 | NY | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 296476-1 | NY | Yes |
Addresses
Primary practice location
61 Roland Street
Sloan, NY 14212-2306
Mailing address
61 Roland St
Sloan, NY 14212-2306
Phone (716) 563-6149
Other providers in Sloan, NY
- Cynthia Aiken
- Amy Sue Blochberger
- Catherine Ann Jankowiak
- Ja'Nay Jones
- Melissa Kwitek
- Brianna Ransom
- Jessica Elizabeth Sapio
All providers in Sloan, 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 Oct 30, 2012. 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.