Individual ProviderReginald JemisonRegistered NurseNursing Service ProvidersPractice Address230 N Main St, Spring Valley, NY 10977-4020(845) 363-8610(845) 300-3194PECOS EnrollmentBased on the most recent information from CMS, provider Reginald Jemison 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 ID1568932978Provider TypeIndividualFull NameJemison, ReginaldGenderMaleSole ProprietorNoEnumeration Date11/28/2018Last Updated11/28/2018Contact InformationPractice LocationPractice Address230 N Main St, Spring Valley, NY 10977-4020Phone(845) 363-8610FaxUnlisted FaxMailing LocationMailing Address230 N Main St, Spring Valley, NY 10977-4020Phone(845) 300-3194FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode163W00000XPrimaryDescriptionRegistered NurseNursing Service ProvidersLicense750158-1New York