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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: August 23, 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
Phone(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
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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 Gonzalez's NPI number?

The NPI number for Jessica Gonzalez is 1649520503. It was assigned to this individual provider in the NPPES registry on September 18, 2012.

Where is Jessica Gonzalez located?

Jessica Gonzalez practices at 3 Willow Pl, Ronkonkoma, NY 11779. The listed phone number is (516) 424-8867.

What is Jessica Gonzalez'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 Gonzalez was last updated on September 18, 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.