Provider Demographics
NPI:1598052698
Name:KAYE, JENNIFER AMPONG (LPN)
Entity Type:Individual
Prefix:MISS
First Name:JENNIFER
Middle Name:AMPONG
Last Name:KAYE
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 1:86 SCHLEY ST
Mailing Address - Street 2:PH
Mailing Address - City:NEWARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07112-1116
Mailing Address - Country:US
Mailing Address - Phone:862-279-3242
Mailing Address - Fax:
Practice Address - Street 1:86 SCHLEY ST
Practice Address - Street 2:PH
Practice Address - City:NEWARK
Practice Address - State:NJ
Practice Address - Zip Code:07112-1116
Practice Address - Country:US
Practice Address - Phone:862-279-3242
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-09
Last Update Date:2011-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY300869-1164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse