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JERIICA KELLY WEATHERUP
NPI 1063281558
Licensed Practical Nurse in Watertown, NY

Active since December 26, 2023
650 STATE STREET, WATERTOWN, NY 13601(315) 755-1251(315) 291-6601 Get Directions Write a Review

NPPES record last updated: December 26, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jeriica Kelly Weatherup NPPES

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

JERIICA KELLY WEATHERUP (NPI 1063281558) is an individual licensed practical nurse in Watertown, New York, licensed in New York (321769) and active in the NPI registry since December 2023.

NPPES Registry Identity

NPI1063281558
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameJERIICA KELLY WEATHERUP
Location Address650 STATE STREETWatertown, NY 13601-1251
Mailing Address114 Scio StWatertown, NY 13601-2451 · (315) 921-1878
Phone(315) 755-1251
Fax(315) 291-6601
Sole ProprietorNo
Enumeration DateDecember 26, 2023
NPPES CertifiedDecember 21, 2023
✔ NPI 1063281558 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 · 321769
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.
650 STATE STREET, Watertown, NY 13601
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Other Identifiers 1

Other321769NY · Licensed Practical Nurse

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.

JANA PARODY RN
Registered Nurse
650 STATE STREET
WATERTOWN, NY 13601
Jefferson County (315) 755-1251
KELSEY MCINTYRE
Student in an Organized Health Care Education/Training Program
650 STATE STREET
WATERTOWN, NY 13601
Jefferson County (315) 755-1251
BRANDI LEE GALLO PRS/PSR
Case Manager/Care Coordinator
650 STATE STREET
WATERTOWN, NY 13601
Jefferson County (312) 755-1251
WENDY SUTLIFFE (CURTIS)
Case Manager/Care Coordinator
650 STATE STREET
WATERTOWN, NY 13601
Jefferson County (315) 755-1251
MATTHEW JAMES HORROCKS
Social Worker
650 STATE STREET
WATERTOWN, NY 13601
Jefferson County (315) 755-1251
JAMES WENDELL O'DELL-KORN
Case Manager/Care Coordinator
650 STATE STREET
WATERTOWN, NY 13601
Jefferson County (315) 755-1251
BRITNEY ELIZABETH LIVINGSTON LPN
Licensed Practical Nurse
650 STATE STREET
WATERTOWN, NY 13601
Jefferson County (315) 755-1251
MS. JENNIFER LEANNE ANDERSON
Case Manager/Care Coordinator
650 STATE STREET
WATERTOWN, NY 13601
Jefferson County (315) 755-1251

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 Jeriica Weatherup's NPI number?

The NPI number for Jeriica Weatherup is 1063281558. It was assigned to this individual provider in the NPPES registry on December 26, 2023.

Where is Jeriica Weatherup located?

Jeriica Weatherup practices at 650 State Street, Watertown, NY 13601. The listed phone number is (315) 755-1251.

What is Jeriica Weatherup'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 Jeriica Weatherup was last updated on December 26, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.