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Organization
MIND HARBOR NURSE PRACTITIONER IN PSYCHIATRY SERVICES PLLC
Active
Organization
MIND HARBOR NURSE PRACTITIONER IN PSYCHIATRY SERVICES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JERMAINE NNAETO (OWNER)
(484) 542-3768
Entity
Organization
Contact information
Practice address
1251 E 56TH STREET, BROOKLYN, NY 11234
(484) 542-3768
Mailing address
1280 LEXINGTON AVE FRNT 2, NEW YORK, NY 10028-2136
(484) 542-3768
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
07/20/2026
Last updated
07/20/2026
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