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Contact Information

SHAWNTAY JACQUES, LPN
218-25 132ND AVE
LAURELTON, NY11413
 Phone: 718-712-4422
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Licensed Practical Nurse

164W00000X
 

Nursing Care

251J00000X
Indicates primary specialty

NPI Profile & details for SHAWNTAY JACQUES · (Female)

NPI Number 1750693727
Status Active
Credentials LPN (Licensed Practical Nurse)
Entity Individual
Enumeration date 07/07/2010
Last updated 11/24/2020 - About 6 years ago
Sole proprietor 1 Yes
Identifiers
  • NY License # 299755
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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