Provider Demographics
NPI:1841718145
Name:SINGLETON, JESSICA PAM (RN)
Entity type:Individual
Prefix:
First Name:JESSICA
Middle Name:PAM
Last Name:SINGLETON
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 1:550 MOUNT AVE
Mailing Address - Street 2:
Mailing Address - City:WEST BABYLON
Mailing Address - State:NY
Mailing Address - Zip Code:11704-1727
Mailing Address - Country:US
Mailing Address - Phone:631-491-4390
Mailing Address - Fax:631-623-4940
Practice Address - Street 1:550 MOUNT AVE
Practice Address - Street 2:
Practice Address - City:WEST BABYLON
Practice Address - State:NY
Practice Address - Zip Code:11704-1727
Practice Address - Country:US
Practice Address - Phone:631-491-4390
Practice Address - Fax:631-623-4940
Is Sole Proprietor?:No
Enumeration Date:2017-09-07
Last Update Date:2017-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY553402-1163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool