SHANA JEROME

Licensed Practical Nurse

Active Individual
NPI: 1336013374

Practice Address

22120 112TH RD
Queens Village, NY 11429

Phone: (347) 256-6903

Specialties

Specialty Code Primary License
Licensed Practical Nurse 164W00000X Yes 331944 (NY)

Frequently Asked Questions

NPI 1336013374 is the National Provider Identifier for SHANA JEROME, a Licensed Practical Nurse provider located in Queens Village, NY. This NPI was enumerated on October 2, 2025.
SHANA JEROME practices at 22120 112TH RD, Queens Village, NY 11429.

Quick Facts

NPI
1336013374
Type
Individual
Enumerated
Oct 2, 2025
Last Updated
Oct 2, 2025

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