Individual
MRS. ALISA JEANETTE ROCKETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
440 CENTRAL AVE, APT 2B, BROOKLYN, NY 11221-5069
(347) 404-6769
Mailing address
440 CENTRAL AVE, APT 2B, BROOKLYN, NY 11221-5069
(347) 404-6769
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
26NP06874400
NJ
164W00000X
Licensed Practical Nurse
Primary
313870
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
XJ83660T
—
NY
Enumeration date
04/03/2013
Last updated
04/03/2013
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