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

Justine Ivan

Individual provider Licensed Practical Nurse · NPI 1295338739

Justine Ivan is a Licensed Practical Nurse in Poughkeepsie, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2020
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Practice location Address checks out

15 Bobrick Rd
Poughkeepsie, NY 12601-5107
Phone: (718) 510-2058
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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 30775901 (NY)

Record details

NPI number1295338739
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedNovember 18, 2020
Last updated in NPPESNovember 18, 2020
Certification dateNovember 18, 2020
Mailing address15 Bobrick Rd, Poughkeepsie, NY 12601-5107

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