# PATRICE POWELL ADULT HEALTH NP PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1639892821
- **Authorized official:** DR. PATRICE ROBIN POWELL DNP (NURSE PRACTITIONER)
- **Authorized official phone:** (888) 855-2584

## Contact information

- **Practice address:** 16040 78TH RD STE 100, FRESH MEADOWS, NY 11366-1969
- **Practice address phone:** (888) 855-2584
- **Practice address fax:** (888) 855-1622
- **Mailing address:** 16040 78TH RD, FRESH MEADOWS, NY 11366-1969
- **Mailing address phone:** (917) 612-7019
- **Mailing address fax:** (888) 855-1266

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WH0200X | Home Health Registered Nurse | — | NULL | — |
| 163WH0200X | Home Health Registered Nurse | — | — | — |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 207RG0300X | Geriatric Medicine (Internal Medicine) Physician | — | NULL | — |
| 207RG0300X | Geriatric Medicine (Internal Medicine) Physician | — | — | — |
| 251E00000X | Home Health Agency | — | NULL | — |
| 261Q00000X | Clinic/Center | — | NULL | — |
| 363LA2200X | Adult Health Nurse Practitioner | — | NULL | — |
| 363LA2200X | Adult Health Nurse Practitioner | — | — | — |
| 363LC1500X | Community Health Nurse Practitioner | — | NULL | — |
| 363LC1500X | Community Health Nurse Practitioner | — | — | — |
| 363LG0600X | Gerontology Nurse Practitioner | — | NULL | — |
| 363LG0600X | Gerontology Nurse Practitioner | — | — | — |
| 363LP2300X | Primary Care Nurse Practitioner | — | NULL | Yes |
| 363LP2300X | Primary Care Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 09/22/2022
- **Last updated:** 05/20/2026