Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1740628569 Individual Practitioner Female Practitioner

Kennicha Jamison

Licensed Practical Nurse • Syracuse, NY

Professional Overview & Biography Verified Profile Summary

Kennicha Jamison is a registered healthcare professional specializing in Licensed Practical Nurse in Syracuse, NY. Practice services are available at 3300 JAMES STREET under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3300 James Street
Suite 201

Syracuse, NY 132062392

Telephone 3154374500
Fax 3154371632
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Practical Nurse in Syracuse, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 8.0 Yrs
Regional Practice Density
493 Specialists

Practicing in Syracuse, NY (23738 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

State License NY 298457-1

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

40 Associated Practitioners
Ralph Salotto

Licensed Practical Nurse

NPI 1003348442
Maxine Steger , LPN

Licensed Practical Nurse

NPI 1013239599

Licensed Practical Nurse

Cynthia Ottoway

Licensed Practical Nurse

NPI 1043618291
Rozea Adair

Licensed Practical Nurse

NPI 1043877061
Linda Soukup , RN

Registered Nurse

NPI 1063718963

Registered Nurse

Theresa Wolfe-Doupe , LPN

Licensed Practical Nurse

NPI 1073835518

Licensed Practical Nurse

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active June 14, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location June 14, 2013

Registered at 3300 JAMES STREET, SUITE 201, SYRACUSE, NY 132062392 (Tel: 3154374500)

📍
Updated Business Mailing Address June 14, 2013

Registered at 3300 JAMES STREET, SUITE 201, SYRACUSE, NY 132062392 (Tel: 3154374500)

👤
Provider Name / Credentials Updated June 14, 2013

Recorded as KENNICHA JAMISON

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 14, 2013

Licensed Practical Nurse (License #298457-1 in NY)

🟢
Initial NPI Registration & Enumeration June 14, 2013

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1740628569
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 14, 2013
Last Update: June 14, 2013
Sole Proprietor: Yes

Mailing Address

3300 James Street, Suite 201

Syracuse, NY 132062392

Phone: 3154374500

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.