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Individual
MRS. JENIECE GERONIMO
Active
Individual
MRS. JENIECE GERONIMO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
129255
CT
163W00000X
Registered Nurse
698659
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
11208
CT
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
404431
NY
Other
Enumeration date
08/29/2022
Last updated
12/01/2022
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