Provider Demographics
NPI:1376898668
Name:MAURICE, JIHANN LYNN (LPN)
Entity Type:Individual
Prefix:MISS
First Name:JIHANN
Middle Name:LYNN
Last Name:MAURICE
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 1:106 UNION RD APT 3G
Mailing Address - Street 2:
Mailing Address - City:SPRING VALLEY
Mailing Address - State:NY
Mailing Address - Zip Code:10977-3406
Mailing Address - Country:US
Mailing Address - Phone:845-536-3709
Mailing Address - Fax:
Practice Address - Street 1:106 UNION RD APT 3G
Practice Address - Street 2:
Practice Address - City:SPRING VALLEY
Practice Address - State:NY
Practice Address - Zip Code:10977-3406
Practice Address - Country:US
Practice Address - Phone:845-536-3709
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-07-23
Last Update Date:2012-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY298266164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse