NICKETTA BLAIR
NPI 1982183398
Licensed Practical Nurse in Laurelton, NY

Q: What is Nicketta Blair's NPI number?

The NPI number for Nicketta Blair is 1982183398. It was assigned to this individual provider in the NPPES registry on August 8, 2018.

Q: What is Nicketta Blair's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Nicketta Blair was last updated on August 8, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since August 08, 2018

23214 MERRICK BLVD, LAURELTON, NY 11413(718) 528-4375 Get Directions Write a Review

NPPES record last updated: August 8, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Nicketta Blair NPPES

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

NICKETTA BLAIR (NPI 1982183398) is an individual licensed practical nurse in Laurelton, New York, licensed in New York (328397-1) and active in the NPI registry since August 2018.

NPPES Registry Identity

NPI1982183398

Entity TypeIndividualFemale

Primary Taxonomy164W00000X

Provider Legal NameNICKETTA BLAIR

Location Address23214 MERRICK BLVDLaurelton, NY 11413-2115

Mailing Address7944 Cedarbrook AvePhiladelphia, PA 19150-1326 · (267) 290-9194

Phone(718) 528-4375

Sole ProprietorNo

Enumeration DateAugust 8, 2018

✔ NPI 1982183398 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 · 328397-1

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.

23214 MERRICK BLVD, Laurelton, NY 11413

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Other Identifiers 1

Other328397-1NY · Nys Nursing License

Other Providers at the Same Location NPPES 17

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

MS. OSALENNE METELLUS NP

Nurse Practitioner (Psychiatric/Mental Health)