Provider Demographics
NPI:1639728140
Name:NAYLOR, JOCELYNN ELAINE (LPN)
Entity Type:Individual
Prefix:MRS
First Name:JOCELYNN
Middle Name:ELAINE
Last Name:NAYLOR
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 1:205 EVANE DR
Mailing Address - Street 2:
Mailing Address - City:DEPEW
Mailing Address - State:NY
Mailing Address - Zip Code:14043-1216
Mailing Address - Country:US
Mailing Address - Phone:716-410-3897
Mailing Address - Fax:
Practice Address - Street 1:205 EVANE DR
Practice Address - Street 2:
Practice Address - City:DEPEW
Practice Address - State:NY
Practice Address - Zip Code:14043-1216
Practice Address - Country:US
Practice Address - Phone:716-410-3897
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-09-06
Last Update Date:2019-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY328723164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse