National Provider Identifier

Mirlyne Jean

Mirlyne Jean is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Farmington, NY and a listed phone number of (585) 629-9738.

NPI 1750160784Farmington, NYLicensed Practical Nurse

Profile Overview

NPI
1750160784
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
September 28, 2023
Last Updated
September 28, 2023

Practice Location

  • 905 Stoney Way
  • Farmington, NY 14425-9610

Phone: (585) 629-9738

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1750160784
Entity Type
Individual
Last Name
Jean
First Name
Mirlyne
Mailing Street Address
905 Stoney Way
Mailing City
Farmington
Mailing State
NY
Mailing ZIP Code
14425-9610
Mailing Country
US
Mailing Phone
(585) 629-9738
Practice Street Address
905 Stoney Way
Practice City
Farmington
Practice State
NY
Practice ZIP Code
14425-9610
Practice Country
US
Practice Phone
(585) 629-9738
Enumeration Date
September 28, 2023
Last Updated
September 28, 2023
Sex
Female
Sole Proprietor
No
Certification Date
September 28, 2023
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)