Provider Demographics
NPI:1932436524
Name:JOSLYN, REBEKAH (LPN)
Entity Type:Individual
Prefix:MISS
First Name:REBEKAH
Middle Name:
Last Name:JOSLYN
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 1:225 N MAIN ST
Mailing Address - Street 2:APT. 1
Mailing Address - City:ONEIDA
Mailing Address - State:NY
Mailing Address - Zip Code:13421-1319
Mailing Address - Country:US
Mailing Address - Phone:315-572-2236
Mailing Address - Fax:
Practice Address - Street 1:225 N MAIN ST
Practice Address - Street 2:APT. 1
Practice Address - City:ONEIDA
Practice Address - State:NY
Practice Address - Zip Code:13421-1319
Practice Address - Country:US
Practice Address - Phone:315-572-2236
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-03
Last Update Date:2009-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY298943-1164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse