National Provider Identifier
Jessica Dekdebrun, LPN
Jessica Dekdebrun, LPN is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Palmyra, NY and a listed phone number of (315) 597-4389.
Profile Overview
- NPI
- 1619220662
- Provider Type
- Individual
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- October 16, 2012
- Last Updated
- October 16, 2012
Practice Location
- 201 Park Dr
- Palmyra, NY 14522-1113
Phone: (315) 597-4389
Specialties
- Licensed Practical Nurse (164W00000X)
Full Record
- NPI
- 1619220662
- Entity Type
- Individual
- Last Name
- Dekdebrun
- First Name
- Jessica
- Credential
- LPN
- Mailing Street Address
- 201 Park Dr
- Mailing City
- Palmyra
- Mailing State
- NY
- Mailing ZIP Code
- 14522-1113
- Mailing Country
- US
- Practice Street Address
- 201 Park Dr
- Practice City
- Palmyra
- Practice State
- NY
- Practice ZIP Code
- 14522-1113
- Practice Country
- US
- Practice Phone
- (315) 597-4389
- Enumeration Date
- October 16, 2012
- Last Updated
- October 16, 2012
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Licensed Practical Nurse (164W00000X)