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

Kerry Valene Bacchus, NURSE

Individual provider Registered Nurse · NPI 1407716889

Kerry Valene Bacchus, NURSE is a Registered Nurse in Far Rockaway, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2025

Practice location Address checks out

316 Beach 19th St
Far Rockaway, NY 11691-4424
Phone: (646) 766-4474
Show map & directions

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

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence 984997 (NY)

Record details

NPI number1407716889
Entity typeIndividual (Type 1)
GenderFemale
Credentials NURSE
Sole proprietorYes
NPI enumeratedNovember 17, 2025
Last updated in NPPESNovember 17, 2025
Certification dateNovember 17, 2025

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