Individual
MR. JEROME JOB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BSN, RN
Contact information
Practice address
28 BOX ST APT N219, BROOKLYN, NY 11222-5585
(929) 683-3320
(866) 275-8660
Mailing address
28 BOX ST APT N219, BROOKLYN, NY 11222-5585
(929) 683-3320
(866) 275-8660
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
797996
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1184445835
NPI TYPE 2 ORGANIZATION ASSOCIATION
NY
Enumeration date
04/06/2026
Last updated
04/06/2026
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