Individual
JESSICA DECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
116 MERILINA AVE, KINGSTON, NY 12401-4226
(845) 943-3364
(845) 943-3262
Mailing address
116 MERILINA AVE, KINGSTON, NY 12401-4226
(845) 943-3364
(845) 943-3262
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
488170
NY
Other
Enumeration date
04/01/2025
Last updated
04/01/2025
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