Jodie Lynn Delage, LPN
Individual provider Active NPI Licensed Practical Nurse · Homer, NY
NPI 1992990733 · NPPES record last updated Sep 13, 2007
Key facts
- NPI
- 1992990733
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- 247437-1 (NY)
- Practice address
- 82 Cayuga St
Homer, NY 13077-1234 - Phone
- (607) 749-3415
- NPI assigned
- Sep 13, 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 |
|---|---|---|---|
| 247437-1 | NY | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 247437-1 | NY | Yes |
Addresses
Primary practice location
82 Cayuga St
Homer, NY 13077-1234
Mailing address
82 Cayuga St
Homer, NY 13077-1234
Phone (607) 749-3415
Other providers in Homer, NY
- Lois Anne Creighton
- Patricia J Curtin
- Rebecca Jane Cutler
- Maximo Jose D'Oleo
- Jaclyn Marie Davis
- Department of Medicine Medical Service Group
- Jamie Lynn Driscoll
- Heidi Jean Effinger
- Elizabeth Brewster House
- Cinthia Lisa Elkins
All providers in Homer, 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 Sep 13, 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.