JERMAINE RICKETTS LPN
NPI 1215239033
Licensed Practical Nurse in Suffern, NY

Q: What is Jermaine Ricketts's NPI number?

The NPI number for Jermaine Ricketts is 1215239033. It was assigned to this individual provider in the NPPES registry on November 30, 2010.

Q: What is Jermaine Ricketts's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jermaine Ricketts was last updated on November 30, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since November 30, 2010

99 WASHINGTON AVE, SUFFERN, NY 10901(845) 357-4500(845) 357-5039 Get Directions Write a Review

NPPES record last updated: November 30, 2010. Verified against the NPPES registry weekly; last sync: July 19, 2026.

On this page

About Jermaine Ricketts Lpn NPPES

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

JERMAINE RICKETTS LPN (NPI 1215239033) is an individual licensed practical nurse in Suffern, New York, licensed in New York (290340) and active in the NPI registry since November 2010.

NPPES Registry Identity

NPI1215239033

Entity TypeIndividualMale

Primary Taxonomy164W00000X

Provider Legal NameJERMAINE RICKETTSCredential: LPN

Location Address99 WASHINGTON AVESuffern, NY 10901-6026

Mailing Address141 Livingston AveYonkers, NY 10705-2224 · (718) 924-8290

Phone(845) 357-4500

Fax(845) 357-5039

Sole ProprietorYes

Enumeration DateNovember 30, 2010

✔ NPI 1215239033 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 · 290340

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.

99 WASHINGTON AVE, Suffern, NY 10901

Open in Google Maps ↗

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.

CHILDREN'S HEALTH NETWORK

Case Management

99 WASHINGTON AVE, SUITE 1
SUFFERN, NY 10901

Rockland County (845) 369-4058

MONICA BALLOU LPN

Licensed Practical Nurse