MISS JENNIFER MARIE SCANLON
NPI 1104253335
Licensed Practical Nurse in Holbrook, NY

Active since October 02, 2013
239 KERRY ST, HOLBROOK, NY 11741(631) 335-4213 Get Directions Write a Review

NPPES record last updated: October 2, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Miss Jennifer Marie Scanlon NPPES

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

MISS JENNIFER MARIE SCANLON (NPI 1104253335) is an individual licensed practical nurse in Holbrook, New York, licensed in New York (315519-1) and active in the NPI registry since October 2013.

NPPES Registry Identity

NPI1104253335
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameMISS JENNIFER MARIE SCANLON
Location Address239 KERRY STHolbrook, NY 11741-3817
Mailing Address23 Woods LnCentereach, NY 11720-2517 · (631) 335-4213
Sole ProprietorNo
Enumeration DateOctober 2, 2013
NPI 1104253335 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 · 315519-1
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.
239 KERRY ST, Holbrook, NY 11741

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 Jennifer Scanlon's NPI number?

The NPI number for Jennifer Scanlon is 1104253335. It was assigned to this individual provider in the NPPES registry on October 2, 2013.

Where is Jennifer Scanlon located?

Jennifer Scanlon practices at 239 Kerry St, Holbrook, NY 11741. The listed phone number is (631) 335-4213.

What is Jennifer Scanlon'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 Jennifer Scanlon was last updated on October 2, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.