Individual
JJODY FELICE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
107 DOLPHIN LN, HOLBROOK, NY 11741-6200
(631) 766-5189
Mailing address
107 DOLPHIN LN, HOLBROOK, NY 11741-6200
(631) 766-5189
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
303446-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6317665189
—
NY
Enumeration date
01/17/2018
Last updated
01/17/2018
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