Provider Demographics
NPI:1578854865
Name:JUPIERRE, CHERYL (LPN)
Entity Type:Individual
Prefix:MISS
First Name:CHERYL
Middle Name:
Last Name:JUPIERRE
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 1:2320 BRONX PARK E
Mailing Address - Street 2:APT. 2L
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10467-7546
Mailing Address - Country:US
Mailing Address - Phone:347-819-7767
Mailing Address - Fax:
Practice Address - Street 1:2320 BRONX PARK E
Practice Address - Street 2:APT. 2L
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10467-7546
Practice Address - Country:US
Practice Address - Phone:347-819-7767
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-21
Last Update Date:2011-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY283991-1164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse