Jessica Beaumont-Cavines

Individual provider Active NPI Licensed Practical Nurse · Nanuet, NY

NPI 1922738780 · NPPES record last updated Jun 14, 2022

Key facts

NPI
1922738780
Entity type
Individual (NPI type 1)
Primary specialty
Licensed Practical Nurse 164W00000X
License
344066 (NY)
Practice address
20 Old Turnpike Rd
Nanuet, NY 10954-2532
Phone
(845) 239-0249
NPI assigned
Jun 14, 2022
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

LicenseStateTypeSpecialty
344066NYMDLicensed Practical Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 344066 NY Yes

Addresses

Primary practice location

20 Old Turnpike Rd
Nanuet, NY 10954-2532

Mailing address

20 Old Turnpike Rd
Nanuet, NY 10954-2532
Phone (845) 239-0249

Other providers in Nanuet, NY

All providers in Nanuet, NY · Licensed Practical Nurse in New York

Sources for this page

Verify at the official NPI Registry.