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JACQUELINE BOURDEAU
NPI 1366057614
Licensed Practical Nurse in Brooklyn, NY

Active since September 14, 2020
2415 NEWKIRK AVE, BROOKLYN, NY 11226(646) 712-3243 Get Directions Write a Review

NPPES record last updated: September 14, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jacqueline Bourdeau NPPES

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

JACQUELINE BOURDEAU (NPI 1366057614) is an individual licensed practical nurse in Brooklyn, New York, licensed in New York (337346) and active in the NPI registry since September 2020.

NPPES Registry Identity

NPI1366057614
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameJACQUELINE BOURDEAU
Location Address2415 NEWKIRK AVEBrooklyn, NY 11226-7622
Mailing Address2415 Newkirk AveBrooklyn, NY 11226-7622 · (646) 712-3243
Phone(646) 712-3243
Sole ProprietorYes
Enumeration DateSeptember 14, 2020
NPPES CertifiedSeptember 14, 2020
✔ NPI 1366057614 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 · 337346
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.
2415 NEWKIRK AVE, Brooklyn, NY 11226
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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 Jacqueline Bourdeau's NPI number?

The NPI number for Jacqueline Bourdeau is 1366057614. It was assigned to this individual provider in the NPPES registry on September 14, 2020.

Where is Jacqueline Bourdeau located?

Jacqueline Bourdeau practices at 2415 Newkirk Ave, Brooklyn, NY 11226. The listed phone number is (646) 712-3243.

What is Jacqueline Bourdeau'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 Jacqueline Bourdeau was last updated on September 14, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.