National Provider Identifier

Jovan Greenaway, LPN

Jovan Greenaway, LPN is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Rochester, NY and a listed phone number of (646) 575-6650.

NPI 1962069674Rochester, NYLicensed Practical Nurse

Profile Overview

NPI
1962069674
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
May 29, 2019
Last Updated
October 06, 2021

Practice Location

  • 164 Sherwood Ave
  • Rochester, NY 14619-1112

Phone: (646) 575-6650

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1962069674
Entity Type
Individual
Last Name
Greenaway
First Name
Jovan
Credential
LPN
Mailing Street Address
164 Sherwood Ave
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14619-1112
Mailing Country
US
Mailing Phone
(646) 575-0290
Practice Street Address
164 Sherwood Ave
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14619-1112
Practice Country
US
Practice Phone
(646) 575-6650
Enumeration Date
May 29, 2019
Last Updated
October 06, 2021
Sex
Female
Sole Proprietor
No
Certification Date
October 06, 2021
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)
Other Identifiers
NONE (None)