Most Relevant Information
Provider Data
| NPI Number: | 1003648262 |
| Provider Name: | KARISSA PLUMMER |
| Entity Type: | Individual |
| Taxonomy Code: | 164W00000X |
| Specialty: | Licensed Practical Nurse |
| License Number: | 350538 |
Most Important Dates
| Enumeration Date: | 08/16/2024 |
| Last Updated: | 08/16/2024 |
Provider Practice Location
115 S 14TH AVE
MOUNT VERNON
NY
105502811
Practice Location Phone/Fax
| Phone: | 2035044011 |
| Fax: |
Provider Mailing Location
115 S 14TH AVE
MOUNT VERNON
NY
105502811
Provider Mailing Phone/Fax
| Phone: | 2035044011 |
| Fax: |