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MRS. JESSICA HENDERSON-GRAY LPN
NPI 1730621210
Licensed Practical Nurse in Bellport, NY

Active since November 15, 2016
735 WALKER AVE, BELLPORT, NY 11713(631) 703-6489 Get Directions Write a Review

NPPES record last updated: December 3, 2016. Verified against the NPPES registry weekly; last sync: September 27, 2026.

About Mrs. Jessica Henderson-gray Lpn NPPES

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

MRS. JESSICA HENDERSON-GRAY LPN (NPI 1730621210) is an individual licensed practical nurse in Bellport, New York, licensed in New York (290786-1) and active in the NPI registry since November 2016.

NPPES Registry Identity

NPI1730621210
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameMRS. JESSICA HENDERSON-GRAYCredential: LPN
Location Address735 WALKER AVEBellport, NY 11713
Mailing Address735 Walker AveBellport, NY 11713 · (631) 703-6489
Phone(631) 703-6489
Sole ProprietorYes
Enumeration DateNovember 15, 2016
Last NPPES UpdateDecember 3, 2016
✔ NPI 1730621210 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 · 290786-1
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.
735 WALKER AVE, Bellport, NY 11713
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Other Names 1

Former Name (1)Jessica Henderson Lpn

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 Henderson-gray's NPI number?

The NPI number for Jessica Henderson-gray is 1730621210. It was assigned to this individual provider in the NPPES registry on November 15, 2016. The provider is also known as Jessica Henderson Lpn.

Where is Jessica Henderson-gray located?

Jessica Henderson-gray practices at 735 Walker Ave, Bellport, NY 11713. The listed phone number is (631) 703-6489.

What is Jessica Henderson-gray'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 Henderson-gray was last updated on December 3, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.