| Miss Jeanette Lafern Ivy, LPN | |
|
1633 Melville St # 2, Bronx, NY 10460-2712 | |
| (757) 202-7408 | |
| Not Available |
| Full Name | Miss Jeanette Lafern Ivy |
|---|---|
| Gender | Female |
| Speciality | Licensed Practical Nurse |
| Location | 1633 Melville St # 2, Bronx, New York |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225541113 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | 314235 (New York) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Miss Jeanette Lafern Ivy, LPN 1633 Melville St, Bronx, NY 10460-2712 Ph: (757) 020-7408 | Miss Jeanette Lafern Ivy, LPN 1633 Melville St # 2, Bronx, NY 10460-2712 Ph: (757) 202-7408 |
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