JESSICA DEKDEBRUN (NPI# 1619220662) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619220662 |
| Entity Type | Individual |
| Full Name | JESSICA DEKDEBRUN |
| Credential | LPN |
| Practice Address |
201 Park Dr Palmyra NY 14522-1113 |
| Practice Telephone | 3155974389 |
| Enumeration Date | 2012-10-16 |
| Last Update Date | 2012-10-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 241207-1 | NY | Nursing Service Providers |
| Street Address |
201 PARK DR |
| City | PALMYRA |
| State | NY |
| Zip Code | 14522-1113 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689909863 | Betsy Wray Hernandez | Registered Nurse | 3046 Sherwood Rd., Palmyra, NY 14522 | 2009-10-06 |
| 1639202815 | Stacey Tinker Welch | Social Worker | 200 Church St, Suite 110, Palmyra, NY 14522 | 2007-03-14 |
| 1184767873 | John Michael Masterson Jr. | Dentist | 402 W Main St, Palmyra, NY 14522-1004 | 2007-02-14 |
| 1538318050 | Newport Medical, Pllc | Clinic/Center | 221 E Main St, Palmyra, NY 14522-1127 | 2008-09-09 |
| 1265446520 | Malcolm M Riggs | General Practice | 201 E Main St, Palmyra, NY 14522-1127 | 2006-07-29 |
| 1396704060 | Karen May Nickell | Family Medicine | 221 E Main St, Palmyra, NY 14522-1127 | 2006-03-21 |
| 1750820114 | Amanda Wendt | Pharmacist | 214 E Main St, Palmyra, NY 14522-1128 | 2017-02-18 |
| 1144668559 | Palmyra Pharmacy LLC | Pharmacy | 214 E Main St, Palmyra, NY 14522-1128 | 2013-06-07 |
| 1124263710 | Denise Ann Jackson | Specialist | 204 E Main St, Palmyra, NY 14522-1128 | 2008-12-10 |
| 1275673030 | Tonya Jean Decann | Chiropractor | 214 E Main St, Palmyra, NY 14522-1128 | 2007-02-08 |
| Find all providers in zip 14522 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740820810 | Karla Ann Drain | Licensed Practical Nurse | 319 County Road 28, Palmyra, NY 14522-9403 | 2020-01-07 |
| 1922458504 | Samantha Swift | Licensed Practical Nurse | 4182 Robb Hwy, Palmyra, MI 49268-9753 | 2016-06-15 |
| 1427391937 | David Walter Huber | Licensed Practical Nurse | 1111 Canandaigua Rd, Palmyra, NY 14522-9305 | 2013-04-03 |
| 1881936201 | Jodi Ann Ross | Licensed Practical Nurse | 120 Salzburg Vlg, Palmyra, NY 14522-1339 | 2013-03-24 |
| 1497023279 | Crystal Lynn Millerd | Licensed Practical Nurse | 320 Vienna St, Palmyra, NY 14522-1516 | 2011-12-07 |
| 1801175930 | Kamea Caster | Licensed Practical Nurse | 885 Canandaigua Rd, Palmyra, NY 14522-9701 | 2011-08-07 |
| 1003111360 | Barbara L Renken | Licensed Practical Nurse | 388 N 10th Rd, Palmyra, NE 68418-4108 | 2011-01-18 |
| 1780816892 | Amy Anne Powers | Licensed Practical Nurse | 3007 Newark Marion Rd, Palmyra, NY 14522-9331 | 2009-08-23 |
| 1760636757 | Lauren Connolly | Licensed Practical Nurse | 2717 Maple Ave, Palmyra, NY 14522-9386 | 2008-11-04 |
| 1326290255 | Lynda S. Fabino-delpapa | Licensed Practical Nurse | 2307 Lyon Rd, Palmyra, NY 14522-9329 | 2008-10-22 |
| Find all providers in PALMYRA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.