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

Jedonne Mitcham

Individual provider Licensed Practical Nurse · NPI 1538034434

Jedonne Mitcham is a Licensed Practical Nurse in East Patchogue, New York. Licensed in New York. Registered with an NPI since 2025.

Licensed in
NY
In the registry since
2025

Practice location Address checks out

245 Hagerman Ave
East Patchogue, NY 11772-5580
Phone: (201) 560-3273
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Licensed Practical Nurse (primary) Taxonomy 164W00000X · Licence 353444 (NY)

Record details

NPI number1538034434
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 9, 2025
Last updated in NPPESOctober 9, 2025
Certification dateOctober 9, 2025
Mailing address245 Hagerman Ave, East Patchogue, NY 11772-5580

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