Individual ProviderJessica PraudaRegistered NurseNursing Service ProvidersPractice Address42 N Main St, Spring Valley, NY 10977-4906(844) 828-2666PECOS EnrollmentBased on the most recent information from CMS, provider Jessica Prauda does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 11:54 AM.Profile DetailsProvider ID1174343347Provider TypeIndividualFull NamePrauda, JessicaGenderFemaleSole ProprietorYesEnumeration Date10/14/2024Last Updated10/14/2024Contact InformationPractice LocationPractice Address42 N Main St, Spring Valley, NY 10977-4906Phone(844) 828-2666FaxUnlisted FaxMailing LocationMailing Address181 Warren Ave, Hawthorne, NY 10532-2420PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode163W00000XPrimaryDescriptionRegistered NurseNursing Service ProvidersLicense952293New York