JESSICA PELLETTIER LPN
NPI 1912134941
Licensed Practical Nurse in Wading River, NY

Q: What is Jessica Pellettier's NPI number?

The NPI number for Jessica Pellettier is 1912134941. It was assigned to this individual provider in the NPPES registry on June 17, 2009.

Q: What is Jessica Pellettier's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

Active since June 17, 2009

75 HULSE AVE, WADING RIVER, NY 11792(631) 886-1237 Get Directions Write a Review

NPPES record last updated: June 17, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Jessica Pellettier Lpn NPPES

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

JESSICA PELLETTIER LPN (NPI 1912134941) is an individual licensed practical nurse in Wading River, New York, licensed in New York (272561-1) and active in the NPI registry since June 2009.

NPPES Registry Identity

NPI1912134941

Entity TypeIndividualFemale

Primary Taxonomy164W00000X

Provider Legal NameJESSICA PELLETTIERCredential: LPN

Location Address75 HULSE AVEWading River, NY 11792-1954

Mailing Address75 Hulse AveWading River, NY 11792-1954 · (631) 886-1237

Phone(631) 886-1237

Sole ProprietorYes

Enumeration DateJune 17, 2009

✔ NPI 1912134941 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 · 272561-1

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.

75 HULSE AVE, Wading River, NY 11792

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Other Identifiers 1

Medicare PIN02867921NY

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 Pellettier's NPI number?

The NPI number for Jessica Pellettier is 1912134941. It was assigned to this individual provider in the NPPES registry on June 17, 2009.

Where is Jessica Pellettier located?

Jessica Pellettier practices at 75 Hulse Ave, Wading River, NY 11792. The listed phone number is (631) 886-1237.

What is Jessica Pellettier'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 Pellettier was last updated on June 17, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.