National Provider Identifier

Jae E Simon, LPN

Jae E Simon, LPN is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Belmont, NY and a listed phone number of (585) 268-7306.

NPI 1093046864Belmont, NYLicensed Practical Nurse

Profile Overview

NPI
1093046864
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
January 19, 2010
Last Updated
January 19, 2010

Practice Location

  • 2984 Route 244
  • Belmont, NY 14813-9778

Phone: (585) 268-7306

Mailing Address

  • 2984 State Route 244
  • Belmont, NY 14813-9778

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1093046864
Entity Type
Individual
Last Name
Simon
First Name
Jae
Middle Name
E
Name Prefix
Mrs.
Credential
LPN
Mailing Street Address
2984 State Route 244
Mailing City
Belmont
Mailing State
NY
Mailing ZIP Code
14813-9778
Mailing Country
US
Mailing Phone
(585) 268-7306
Practice Street Address
2984 Route 244
Practice City
Belmont
Practice State
NY
Practice ZIP Code
14813-9778
Practice Country
US
Practice Phone
(585) 268-7306
Enumeration Date
January 19, 2010
Last Updated
January 19, 2010
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)