# SB ADULT HEALTH NURSE PRACTITIONER PLLC

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

## Provider details

- **NPI number:** 1700795556
- **Authorized official:** SHERRILLE L BETHUNE NP (OWNER)
- **Authorized official phone:** (516) 744-2945

## Contact information

- **Practice address:** 17561 HILLSIDE AVE, JAMAICA, NY 11432-5774
- **Practice address phone:** (516) 744-2945
- **Mailing address:** 17561 HILLSIDE AVE STE 202, JAMAICA, NY 11432-5771
- **Mailing address phone:** (516) 744-2945

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP2300X | Primary Care Nurse Practitioner | — | NULL | Yes |
| 363LP2300X | Primary Care Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 09/04/2026
- **Last updated:** 09/04/2026