JEANNELL JEFFERSON LPN
NPI 1235470089
Licensed Practical Nurse in Smithtown, NY

Active since March 04, 2013
99 HOLLYWOOD DR, SMITHTOWN, NY 11787(631) 366-5801 Get Directions Write a Review

NPPES record last updated: March 4, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jeannell Jefferson Lpn NPPES

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

JEANNELL JEFFERSON LPN (NPI 1235470089) is an individual licensed practical nurse in Smithtown, New York, licensed in New York (277179-1) and active in the NPI registry since March 2013.

NPPES Registry Identity

NPI1235470089
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameJEANNELL JEFFERSONCredential: LPN
Location Address99 HOLLYWOOD DRSmithtown, NY 11787-3135
Mailing Address116 Nadel DrRiverhead, NY 11901-1807 · (631) 727-1148
Sole ProprietorYes
Enumeration DateMarch 4, 2013
NPI 1235470089 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 · 277179-1
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.

99 HOLLYWOOD DR, Smithtown, NY 11787

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.

Occupational Therapist
99 HOLLYWOOD DR
SMITHTOWN, NY 11787
Family Medicine
99 HOLLYWOOD DR
SMITHTOWN, NY 11787
Psychiatry & Neurology (Child & Adolescent Psychiatry)
99 HOLLYWOOD DR
SMITHTOWN, NY 11787
Dentist (General Practice)
99 HOLLYWOOD DR
SMITHTOWN, NY 11787
Dental Hygienist
99 HOLLYWOOD DR
SMITHTOWN, NY 11787
Clinic/Center (Community Health)
99 HOLLYWOOD DR
SMITHTOWN, NY 11787
Physical Therapy Assistant
99 HOLLYWOOD DR
SMITHTOWN, NY 11787
Physical Therapy Assistant
99 HOLLYWOOD DR
SMITHTOWN, NY 11787

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 Jeannell Jefferson's NPI number?

The NPI number for Jeannell Jefferson is 1235470089. It was assigned to this individual provider in the NPPES registry on March 4, 2013.

Where is Jeannell Jefferson located?

Jeannell Jefferson practices at 99 Hollywood Dr, Smithtown, NY 11787. The listed phone number is (631) 366-5801.

What is Jeannell Jefferson'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 Jeannell Jefferson was last updated on March 4, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.