JESSICA GONZALEZ
NPI 1649520503
Licensed Practical Nurse in Ronkonkoma, NY

Active since September 18, 2012
3 WILLOW PL, RONKONKOMA, NY 11779(516) 424-8867 Get Directions Write a Review

NPPES record last updated: September 18, 2012. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Jessica Gonzalez NPPES

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

JESSICA GONZALEZ (NPI 1649520503) is an individual licensed practical nurse in Ronkonkoma, New York, licensed in New York (310456-1) and active in the NPI registry since September 2012.

NPPES Registry Identity

NPI1649520503
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameJESSICA GONZALEZ
Location Address3 WILLOW PLRonkonkoma, NY 11779-2223
Mailing Address3 Willow PlRonkonkoma, NY 11779-2223 · (516) 424-8867
Sole ProprietorYes
Enumeration DateSeptember 18, 2012
NPI 1649520503 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 · 310456-1
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.

3 WILLOW PL, Ronkonkoma, NY 11779

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1649520503, enumerated as an "individual" on September 18, 2012.

The provider is located at 3 WILLOW PL RONKONKOMA, NY 11779 and the phone number is (516) 424-8867.

Licensed Practical Nurse with taxonomy code 164W00000X.