1. Home
  2. Directory
  3. New York
  4. East Patchogue
  5. Licensed Practical Nurse
  6. NPI Profile

JEDONNE MITCHAM
NPI 1538034434
Licensed Practical Nurse in East Patchogue, NY

Active since October 09, 2025
245 HAGERMAN AVE, EAST PATCHOGUE, NY 11772(201) 560-3273 Get Directions Write a Review

NPPES record last updated: October 9, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jedonne Mitcham NPPES

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

JEDONNE MITCHAM (NPI 1538034434) is an individual licensed practical nurse in East Patchogue, New York, licensed in New York (353444) and active in the NPI registry since October 2025.

NPPES Registry Identity

NPI1538034434
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameJEDONNE MITCHAM
Location Address245 HAGERMAN AVEEast Patchogue, NY 11772-5580
Mailing Address245 Hagerman AveEast Patchogue, NY 11772-5580 · (201) 560-3273
Phone(201) 560-3273
Sole ProprietorNo
Enumeration DateOctober 9, 2025
NPPES CertifiedOctober 9, 2025
✔ NPI 1538034434 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 · 353444
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.
245 HAGERMAN AVE, East Patchogue, NY 11772
Open in Google Maps ↗

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 Jedonne Mitcham's NPI number?

The NPI number for Jedonne Mitcham is 1538034434. It was assigned to this individual provider in the NPPES registry on October 9, 2025.

Where is Jedonne Mitcham located?

Jedonne Mitcham practices at 245 Hagerman Ave, East Patchogue, NY 11772. The listed phone number is (201) 560-3273.

What is Jedonne Mitcham'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 Jedonne Mitcham was last updated on October 9, 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.