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JESSICA CUNNINGHAM
NPI 1053784439
Licensed Practical Nurse in Riverhead, NY

Active since November 05, 2015
30 MALCOLM WAY, RIVERHEAD, NY 11901(631) 727-7161 Get Directions Write a Review

NPPES record last updated: November 5, 2015. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Jessica Cunningham NPPES

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

JESSICA CUNNINGHAM (NPI 1053784439) is an individual licensed practical nurse in Riverhead, New York, licensed in New York (324087) and active in the NPI registry since November 2015.

NPPES Registry Identity

NPI1053784439
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameJESSICA CUNNINGHAM
Location Address30 MALCOLM WAYRiverhead, NY 11901-5204
Mailing Address30 Malcolm WayRiverhead, NY 11901-5204 · (631) 727-7161
Phone(631) 727-7161
Sole ProprietorYes
Enumeration DateNovember 5, 2015
✔ NPI 1053784439 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 · 324087
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.
30 MALCOLM WAY, Riverhead, NY 11901
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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 Jessica Cunningham's NPI number?

The NPI number for Jessica Cunningham is 1053784439. It was assigned to this individual provider in the NPPES registry on November 5, 2015.

Where is Jessica Cunningham located?

Jessica Cunningham practices at 30 Malcolm Way, Riverhead, NY 11901. The listed phone number is (631) 727-7161.

What is Jessica Cunningham'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 Jessica Cunningham was last updated on November 5, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.