MRS. OLIVE NERISSA JENNAS LEUNG LPN NPI 1013186162

NPI Information

  • NPI: 1013186162
  • Provider Name: MRS. OLIVE NERISSA JENNAS LEUNG, LPN
  • Classification: Licensed Practical Nurse - 164W00000X
  • Entity Type: Individual
  • Address: 3140 77TH ST
    JACKSON HEIGHTS, NY
    ZIP 11370
  • Phone: (718) 672-4898

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NPI Details

MRS. Olive Nerissa Jennas Leung, LPN is a licensed practical nurse in Jackson Heights, NY. The provider is a licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. MRS. Olive Nerissa Jennas Leung, LPN NPI is 1013186162. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3140 77TH ST
JACKSON HEIGHTS, NY
ZIP 11370
Phone: (718) 672-4898

The enumeration date for this NPI number is 2/22/2008 and was last updated on 2/22/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1164W00000XLicensed Practical Nurse2022901NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
101197800MEDICAIDNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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