Individual
JENNIFER JARVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1275 YORK AVE, NEW YORK, NY 10065-6007
(516) 644-7598
Mailing address
1470 1ST AVE, NEW YORK, NY 10075-2277
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
342533
NY
367500000X
Certified Registered Nurse Anesthetist
Primary
682756-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
342533
NP LICENSE
NY
Enumeration date
02/07/2018
Last updated
02/02/2025
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