Jean M Dennis
Individual provider Active NPI Licensed Practical Nurse · Dryden, NY
NPI 1902005259 · NPPES record last updated Jul 17, 2007
Key facts
- NPI
- 1902005259
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- 246496-1 (NY)
- Practice address
- 155 Dryden Harford Rd
Dryden, NY 13053-9773 - Phone
- (607) 844-4861
- NPI assigned
- Jul 17, 2007
- 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 |
|---|---|---|---|
| 246496-1 | NY | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 246496-1 | NY | Yes |
Addresses
Primary practice location
155 Dryden Harford Rd
Dryden, NY 13053-9773
Mailing address
155 Dryden Harford Rd
Dryden, NY 13053-9773
Phone (607) 844-4861
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02641312 | Medicaid | NY |
Other providers in Dryden, NY
- Michelle Dardia
- David a McCune
- Megan Michelle Decarlo
- Linda Karen Delong
- Randi Demichiei
- Alex Andrew Di Matteo
- Christine Y Dow
- Dryden Ambulance Inc
- Dryden CSD
- Dryden Family Medicine, PLLC
All providers in Dryden, 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 Jul 17, 2007. 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.