Individual
JENNIFER AYN VEGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
111 E 210TH ST, BRONX, NY 10467-2401
(718) 920-4321
Mailing address
1281 EDISON AVE, BRONX, NY 10461-6156
(718) 406-6761
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
432784
NY
Other
Enumeration date
07/28/2023
Last updated
08/18/2023
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