Individual
JOLIETTE N JEAN-RAYMOND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
250 8TH AVE, WEST BABYLON, NY 11704-3144
(631) 288-1507
Mailing address
250 8TH AVE, WEST BABYLON, NY 11704-3144
(631) 299-1507
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F310442-01
NY
Other
Enumeration date
08/04/2022
Last updated
08/04/2022
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