# JEREMIAH JAMES EDWARDS

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1699271114
- **Gender:** Man

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WP0808X | Psychiatric/Mental Health Registered Nurse | 663782 | NY | Yes |

## Other

- **Enumeration date:** 04/03/2018
- **Last updated:** 04/03/2018