Provider Demographics
NPI:1831457324
Name:JESSIMY, CHERYL MAY (R N)
Entity Type:Individual
Prefix:MS
First Name:CHERYL
Middle Name:MAY
Last Name:JESSIMY
Suffix:
Gender:F
Credentials:R N
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:110 CHESTER ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11212-5643
Mailing Address - Country:US
Mailing Address - Phone:718-385-1663
Mailing Address - Fax:718-345-3021
Practice Address - Street 1:110 CHESTER ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11212-5643
Practice Address - Country:US
Practice Address - Phone:718-385-1663
Practice Address - Fax:718-345-3021
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-02
Last Update Date:2012-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY442057-1163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse