Provider Demographics
NPI:1558780593
Name:WEST, JAUNITTA MORJORIE (LPN LICENSED PRACTIC)
Entity Type:Individual
Prefix:MRS
First Name:JAUNITTA
Middle Name:MORJORIE
Last Name:WEST
Suffix:
Gender:F
Credentials:LPN LICENSED PRACTIC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:177 WARREN AVE
Mailing Address - Street 2:
Mailing Address - City:WHITE PLAINS
Mailing Address - State:NY
Mailing Address - Zip Code:10603-2610
Mailing Address - Country:US
Mailing Address - Phone:914-288-9390
Mailing Address - Fax:
Practice Address - Street 1:177 WARREN AVE
Practice Address - Street 2:
Practice Address - City:WHITE PLAINS
Practice Address - State:NY
Practice Address - Zip Code:10603
Practice Address - Country:US
Practice Address - Phone:914-288-9390
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-04-07
Last Update Date:2014-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY260825-1164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse