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MRS. JENNIE MARIE MORTENSON BERGER L.P.N
NPI 1952661035
Licensed Practical Nurse in Holbrook, NY

Active since May 22, 2012
495 RAFT AVE, HOLBROOK, NY 11741(631) 218-7574 Get Directions Write a Review

NPPES record last updated: May 22, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mrs. Jennie Marie Mortenson Berger L.p.n NPPES

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

MRS. JENNIE MARIE MORTENSON BERGER L.P.N (NPI 1952661035) is an individual licensed practical nurse in Holbrook, New York, licensed in New York (294260) and active in the NPI registry since May 2012.

NPPES Registry Identity

NPI1952661035
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameMRS. JENNIE MARIE MORTENSON BERGERCredential: L.P.N
Location Address495 RAFT AVEHolbrook, NY 11741-5909
Mailing Address495 Raft AveHolbrook, NY 11741-5909 · (631) 218-7574
Phone(631) 218-7574
Sole ProprietorNo
Enumeration DateMay 22, 2012
✔ NPI 1952661035 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 · 294260
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.
495 RAFT AVE, Holbrook, NY 11741
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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 Jennie Mortenson Berger's NPI number?

The NPI number for Jennie Mortenson Berger is 1952661035. It was assigned to this individual provider in the NPPES registry on May 22, 2012.

Where is Jennie Mortenson Berger located?

Jennie Mortenson Berger practices at 495 Raft Ave, Holbrook, NY 11741. The listed phone number is (631) 218-7574.

What is Jennie Mortenson Berger'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 Jennie Mortenson Berger was last updated on May 22, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.