Provider Demographics
NPI:1104617083
Name:DINON, JLEA (RN)
Entity type:Individual
Prefix:
First Name:JLEA
Middle Name:
Last Name:DINON
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24 SANDALWOOD LN
Mailing Address - Street 2:
Mailing Address - City:GLENVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:12302-5406
Mailing Address - Country:US
Mailing Address - Phone:518-281-1810
Mailing Address - Fax:
Practice Address - Street 1:35 MAXWELL DR
Practice Address - Street 2:
Practice Address - City:CLIFTON PARK
Practice Address - State:NY
Practice Address - Zip Code:12065-4061
Practice Address - Country:US
Practice Address - Phone:518-881-0581
Practice Address - Fax:844-465-1217
Is Sole Proprietor?:No
Enumeration Date:2025-05-13
Last Update Date:2025-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY592272163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool