National Provider Identifier

Julissa Jasmine Kain, LPN

Julissa Jasmine Kain, LPN is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Elmira, NY and a listed phone number of (607) 481-5450.

NPI 1801288857Elmira, NYLicensed Practical Nurse

Profile Overview

NPI
1801288857
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
February 27, 2015
Last Updated
February 27, 2015

Practice Location

  • 94 Evergreen Ave
  • Elmira, NY 14905-1808

Phone: (607) 481-5450

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1801288857
Entity Type
Individual
Last Name
Kain
First Name
Julissa
Middle Name
Jasmine
Credential
LPN
Provider Other Last Name
Kain
Provider Other First Name
Julissa
Provider Other Middle Name
Jasmine
Provider Other Name Prefix Text
Miss
Provider Other Credential Text
LPN
Provider Other Last Name Type Code
2
Mailing Street Address
94 Evergreen Ave
Mailing City
Elmira
Mailing State
NY
Mailing ZIP Code
14905-1808
Mailing Country
US
Mailing Phone
(607) 481-5450
Mailing Fax
(607) 737-7788
Practice Street Address
94 Evergreen Ave
Practice City
Elmira
Practice State
NY
Practice ZIP Code
14905-1808
Practice Country
US
Practice Phone
(607) 481-5450
Practice Fax
(607) 737-7788
Enumeration Date
February 27, 2015
Last Updated
February 27, 2015
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)