Individual
DR. JENNIFER DENISE MINGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, AGACNP-BC
Contact information
Practice address
301 E MAIN ST, BAY SHORE, NY 11706-8408
(631) 968-3000
Mailing address
485 WOLF HILL RD, DIX HILLS, NY 11746-5724
(516) 476-4744
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
433038
NY
Other
Enumeration date
07/22/2024
Last updated
07/22/2024
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