Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jacqueline Ingrid Kipp

Individual provider Licensed Practical Nurse · NPI 1003410713

Jacqueline Ingrid Kipp is a Licensed Practical Nurse in Briarwood, New York. Works from 2 locations. Licensed in New York.

Licensed in
NY
In the registry since
2020

Practice location Address checks out

13802 Queens Blvd
Briarwood, NY 11435-2665
Phone: (347) 251-7737
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 16731 109th Ave, Jamaica, NY 11433-2909 — (347) 251-7737

Specialties & licences

Licensed Practical Nurse (primary) Taxonomy 164W00000X · Licence 204822 (NY)

Record details

NPI number1003410713
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 23, 2020
Last updated in NPPESNovember 23, 2020
Certification dateNovember 23, 2020
Mailing address16731 109th Ave, Jamaica, NY 11433-2909

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