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

Jerdene Bachus

Individual provider Specialist · NPI 1124756515

Jerdene Bachus is a Specialist in Plainview, New York. Registered with an NPI since 2022.

In the registry since
2022

Practice location Address checks out

255 Executive Dr
Plainview, NY 11803-1718
Phone: (347) 965-4381
Show map & directions

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

Specialties & licences

Specialist (primary) Taxonomy 174400000X

Record details

NPI number1124756515
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 12, 2022
Last updated in NPPESAugust 12, 2022
Certification dateAugust 12, 2022
Mailing address13824 232nd St, Laurelton, NY 11413-2837

Other providers in Plainview