Healthcare Provider Details

I. General information

NPI: 1881963908
Provider Name (Legal Business Name): LUCILLE KNIGHT R.N.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/19/2011
Last Update Date: 09/13/2026
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

160 UNION ST
POUGHKEEPSIE NY
12601-3014
US

IV. Provider business mailing address

83 HILLIS TER
POUGHKEEPSIE NY
12603-5813
US

V. Phone/Fax

Practice location:
  • Phone: 845-451-4635
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number217479
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: