SearchNew York164W00000X

Shawntay Jacques, LPN

NPI 1750693727 · on the registry since 2010 · sole proprietor

Practice

Address
218-25 132nd Ave
Laurelton, NY 11413
Phone
(718) 712-4422

Registry record

Primary taxonomy
164W00000X
164W00000X
Also registered as
251J00000X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2020-11-24

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York