MISS STACEY REBBIE GRANVILLE LPN
NPI 1952625865
Licensed Practical Nurse in Jamaica, NY

Active since March 22, 2010
14042 172ND ST, JAMAICA, NY 11434(718) 926-6744 Get Directions Write a Review

NPPES record last updated: March 22, 2010. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Miss Stacey Rebbie Granville Lpn NPPES

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

MISS STACEY REBBIE GRANVILLE LPN (NPI 1952625865) is an individual licensed practical nurse in Jamaica, New York, licensed in New York (295683-1) and active in the NPI registry since March 2010.

NPPES Registry Identity

NPI1952625865
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameMISS STACEY REBBIE GRANVILLECredential: LPN
Location Address14042 172ND STJamaica, NY 11434-4624
Mailing Address14042 172nd StJamaica, NY 11434-4624 · (718) 926-6744
Sole ProprietorYes
Enumeration DateMarch 22, 2010
NPI 1952625865 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 · 295683-1
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.

14042 172ND ST, Jamaica, NY 11434

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Registered Nurse
14042 172ND ST
JAMAICA, NY 11434

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 Stacey Granville's NPI number?

The NPI number for Stacey Granville is 1952625865. It was assigned to this individual provider in the NPPES registry on March 22, 2010.

Where is Stacey Granville located?

Stacey Granville practices at 14042 172nd St, Jamaica, NY 11434. The listed phone number is (718) 926-6744.

What is Stacey Granville'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 Stacey Granville was last updated on March 22, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.