Provider Demographics
NPI:1023904638
Name:DECOURSEY, ALEYA JASMINE (LPN)
Entity type:Individual
Prefix:MS
First Name:ALEYA
Middle Name:JASMINE
Last Name:DECOURSEY
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:104 NORFLEET LN
Mailing Address - Street 2:
Mailing Address - City:CORAM
Mailing Address - State:NY
Mailing Address - Zip Code:11727-4051
Mailing Address - Country:US
Mailing Address - Phone:631-552-7116
Mailing Address - Fax:
Practice Address - Street 1:104 NORFLEET LN
Practice Address - Street 2:
Practice Address - City:CORAM
Practice Address - State:NY
Practice Address - Zip Code:11727-4051
Practice Address - Country:US
Practice Address - Phone:631-552-7116
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-18
Last Update Date:2025-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY347229164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse