Jennifer Derrick , LPN
Licensed Practical Nurse • Brooklyn, NY
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Jennifer Derrick has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Jennifer Derrick, LPN was a registered Licensed Practical Nurse practicing in Brooklyn, NY. Throughout an active medical career spanning 8 years, Jennifer Derrick provided care at the practice location at 615 AVENUE C until profile deactivation on 2023-08-23.
Practice Location & Contact Primary Location
615 Avenue C
Brooklyn, NY 112184101
Specialty Benchmarks & Practice Insights
Comparative analytics for Licensed Practical Nurse in Brooklyn, NY
Practicing in Brooklyn, NY (23738 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 164W00000X
An individual 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.
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Dentist
Doctor of Dental Surgery
Physical Therapist
Physical Therapy Assistant
Physical Therapist Assistant, Physical Therapist, Doctor of Physical Therapy
Physical Therapist
Registered Physical Therapist
Physical Therapy Assistant
Physical Therapist Assistant
Nurse Practitioner - Family
Family Nurse Practitioner
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on August 23, 2023
NPI status registered as active in NPPES database
Registered at 615 AVENUE C, BROOKLYN, NY 112184101 (Tel: 7186333300)
Registered at 960 ROGERS AVE, 3RD FL, BROOKLYN, NY 112269604 (Tel: 7184696418)
Recorded as JENNIFER DERRICK, LPN
Licensed Practical Nurse (License #270557-1 in NY)
First registered as active Individual Practitioner in NPPES Database.
Patient & Community Reviews
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NPI Administrative Meta
Mailing Address
960 Rogers Ave, 3rd Fl
Brooklyn, NY 112269604
Phone: 7184696418
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