Provider Demographics
NPI:1184498263
Name:SKN 2 SKN LLC
Entity type:Organization
Organization Name:SKN 2 SKN LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JEANNELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:CHAPERON
Authorized Official - Suffix:
Authorized Official - Credentials:CNM, OBGYN-NP, CBS
Authorized Official - Phone:917-753-4220
Mailing Address - Street 1:21 ULSTER AVE
Mailing Address - Street 2:
Mailing Address - City:WEST BABYLON
Mailing Address - State:NY
Mailing Address - Zip Code:11704-1813
Mailing Address - Country:US
Mailing Address - Phone:917-753-4220
Mailing Address - Fax:
Practice Address - Street 1:21 ULSTER AVE
Practice Address - Street 2:
Practice Address - City:WEST BABYLON
Practice Address - State:NY
Practice Address - Zip Code:11704-1813
Practice Address - Country:US
Practice Address - Phone:917-753-4220
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-09
Last Update Date:2023-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WL0100XNursing Service ProvidersRegistered NurseLactation ConsultantGroup - Multi-Specialty