Jennas Leung, Olive Nerissa

Jennas Leung, Olive Nerissa is an sole proprietor health care provider with primary practice located at 3140 77Th St , Jackson Heights NY 11370. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Jennas Leung, Olive Nerissa can be contacted via phone (718) 672-4898.

Contact Information

Primary practice address
3140 77Th St Jackson Heights NY 11370
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 2022901 New York

Profile Details

NPI number 1013186162
LBN Legal business name Jennas Leung, Olive Nerissa
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 22nd, 2008
Last updated Feb 22nd, 2008 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1013186162 NPPES
New York MEDICAID 01197800

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