Alexis-Peacock, Audrey

Alexis-Peacock, Audrey is an sole proprietor health care provider with primary practice located at 10724 155Th St , Jamaica NY 11433-1924. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Alexis-Peacock, Audrey can be contacted via phone (347) 510-9972.

Contact Information

Primary practice address
10724 155Th St Jamaica NY 11433-1924
Phone: (347) 510-9972
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 303041 New York

Profile Details

NPI number 1528361318
LBN Legal business name Alexis-Peacock, Audrey
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 16th, 2010
Last updated Oct 31st, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers