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

Jason Parris

Individual provider Licensed Practical Nurse · NPI 1023732658

Jason Parris is a Licensed Practical Nurse in Lake Grove, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2022

Practice location Address checks out

4 Eliot Dr
Lake Grove, NY 11755-2512
Phone: (631) 285-3105
Show map & directions

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

Specialties & licences

Licensed Practical Nurse (primary) Taxonomy 164W00000X · Licence 312659-01 (NY)

Record details

NPI number1023732658
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedSeptember 27, 2022
Last updated in NPPESSeptember 27, 2022
Certification dateSeptember 26, 2022
Mailing address4 Eliot Dr, Lake Grove, NY 11755-2512

Other providers in Lake Grove