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SHANA JEROME
NPI 1336013374
Licensed Practical Nurse in Queens Village, NY

Active since October 02, 2025
22120 112TH RD, QUEENS VILLAGE, NY 11429(347) 256-6903 Get Directions Write a Review

NPPES record last updated: October 2, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Shana Jerome NPPES

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

SHANA JEROME (NPI 1336013374) is an individual licensed practical nurse in Queens Village, New York, licensed in New York (331944) and active in the NPI registry since October 2025.

NPPES Registry Identity

NPI1336013374
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameSHANA JEROME
Location Address22120 112TH RDQueens Village, NY 11429-2605
Mailing Address22120 112th RdQueens Village, NY 11429-2605
Phone(347) 256-6903
Sole ProprietorYes
Enumeration DateOctober 2, 2025
NPPES CertifiedOctober 2, 2025
✔ NPI 1336013374 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 · 331944
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.
22120 112TH RD, Queens Village, NY 11429
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Shana Jerome's NPI number?

The NPI number for Shana Jerome is 1336013374. It was assigned to this individual provider in the NPPES registry on October 2, 2025.

Where is Shana Jerome located?

Shana Jerome practices at 22120 112th Rd, Queens Village, NY 11429. The listed phone number is (347) 256-6903.

What is Shana Jerome'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 Shana Jerome was last updated on October 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.