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JACQUELINE INGRID KIPP
NPI 1003410713
Licensed Practical Nurse in Briarwood, NY

Active since November 23, 2020
13802 QUEENS BLVD, BRIARWOOD, NY 11435(347) 251-7737 Get Directions Write a Review

NPPES record last updated: November 23, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jacqueline Ingrid Kipp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACQUELINE INGRID KIPP (NPI 1003410713) is an individual licensed practical nurse in Briarwood, New York, licensed in New York (204822) and active in the NPI registry since November 2020. She maintains a secondary practice location in Jamaica.

NPPES Registry Identity

NPI1003410713
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameJACQUELINE INGRID KIPP
Location Address13802 QUEENS BLVDBriarwood, NY 11435-2665
Mailing Address16731 109th AveJamaica, NY 11433-2909
Phone(347) 251-7737
Sole ProprietorNo
Enumeration DateNovember 23, 2020
NPPES CertifiedNovember 23, 2020
✔ NPI 1003410713 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in NY · 204822
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
13802 QUEENS BLVD, Briarwood, NY 11435
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Secondary Practice Location 1

Location 116731 109th AveJamaica, NY 11433-2909 · Phone (347) 251-7737

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DAMIAN FAMILY CARE CENTERS, INC.
Clinic/Center (Federally Qualified Health Center (FQHC))
13802 QUEENS BLVD, 2ND FLOOR
BRIARWOOD, NY 11435
Queens County (718) 657-1100
SOPHIA RICKETTS
Licensed Practical Nurse
13802 QUEENS BLVD
JAMAICA, NY 11435
Queens County (718) 206-2000
DR. SONIA J. LOPEZ M.D.
Family Medicine (Addiction Medicine)
13802 QUEENS BLVD
JAMAICA, NY 11435
Queens County (718) 298-5100
HEATHER SHANNON
Counselor (Mental Health)
13802 QUEENS BLVD
BRIARWOOD, NY 11435
Queens County (718) 206-2000
MRS. SHANNA NICHOLS LCSW
Social Worker (Clinical)
13802 QUEENS BLVD
BRIARWOOD, NY 11435
Queens County (855) 322-4357
MIKAYLA GABRIELLE SHERMAN RN
Registered Nurse
13802 QUEENS BLVD
BRIARWOOD, NY 11435
Queens County (845) 313-2973
ELIZABETH KING RN
Registered Nurse
13802 QUEENS BLVD
BRIARWOOD, NY 11435
Queens County (718) 657-5100
MS. CHERYL ANN BROWN LPN
Licensed Practical Nurse
13802 QUEENS BLVD
BRIARWOOD, NY 11435
Queens County (718) 206-2000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jacqueline Kipp's NPI number?

The NPI number for Jacqueline Kipp is 1003410713. It was assigned to this individual provider in the NPPES registry on November 23, 2020.

Where is Jacqueline Kipp located?

Jacqueline Kipp practices at 13802 Queens Blvd, Briarwood, NY 11435. The listed phone number is (347) 251-7737.

What is Jacqueline Kipp's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Jacqueline Kipp was last updated on November 23, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.