MONIQUE DEMETREAL DECICCO-JONES RNMSNMHA FNP NPI 1558693986

NPI Information

NPI: 1558693986
Provider Name: MONIQUE DEMETREAL DECICCO-JONES, RN,MSN,MHA, FNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Address:
180 S MAIN ST
LIBERTY, NY
ZIP 12754
Phone: (845) 292-9114
Get Directions

Monique Demetreal Decicco-jones, RN,MSN,MHA, FNP is a family nurse practitioner in Liberty, NY. Monique Demetreal Decicco-jones, RN,MSN,MHA, FNP NPI is 1558693986. 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:

180 S MAIN ST
LIBERTY, NY
ZIP 12754-829
Phone: (845) 292-9114

The enumeration date for this NPI number is 2/10/2010 and was last updated on 6/22/2013.

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
1	163W00000X	Registered Nurse		510240-1	NEW YORK	No
2	163WC0400X	Registered Nurse	Case Management	510240-1	NEW YORK	No
3	163WD0400X	Registered Nurse	Diabetes Educator	510240-1	NEW YORK	No
4	163WG0000X	Registered Nurse	General Practice	510240-1	NEW YORK	No
5	163WN1003X	Registered Nurse	Nutrition Support	510240-1	NEW YORK	No
6	363LF0000X	Nurse Practitioner	Family	33 338064	NEW YORK	Yes

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: 4/28/2024

NPI Synchronization or Removal

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