JESSICA DEKDEBRUN LPN
NPI 1619220662
Licensed Practical Nurse in Palmyra, NY

Q: What is Jessica Dekdebrun's NPI number?

The NPI number for Jessica Dekdebrun is 1619220662. It was assigned to this individual provider in the NPPES registry on October 16, 2012.

Q: What is Jessica Dekdebrun'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 Jessica Dekdebrun was last updated on October 16, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.

Active since October 16, 2012

201 PARK DR, PALMYRA, NY 14522(315) 597-4389 Get Directions Write a Review

NPPES record last updated: October 16, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Jessica Dekdebrun Lpn NPPES

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

JESSICA DEKDEBRUN LPN (NPI 1619220662) is an individual licensed practical nurse in Palmyra, New York, licensed in New York (241207-1) and active in the NPI registry since October 2012.

NPPES Registry Identity

NPI1619220662

Entity TypeIndividualFemale

Primary Taxonomy164W00000X

Provider Legal NameJESSICA DEKDEBRUNCredential: LPN

Location Address201 PARK DRPalmyra, NY 14522-1113

Mailing Address201 Park DrPalmyra, NY 14522-1113

Phone(315) 597-4389

Sole ProprietorYes

Enumeration DateOctober 16, 2012

✔ NPI 1619220662 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 · 241207-1

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.

201 PARK DR, Palmyra, NY 14522

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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 Jessica Dekdebrun's NPI number?

The NPI number for Jessica Dekdebrun is 1619220662. It was assigned to this individual provider in the NPPES registry on October 16, 2012.

Where is Jessica Dekdebrun located?

Jessica Dekdebrun practices at 201 Park Dr, Palmyra, NY 14522. The listed phone number is (315) 597-4389.

What is Jessica Dekdebrun'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 Jessica Dekdebrun was last updated on October 16, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.