Individual
JANINE INEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN, PMHNP-BC
Contact information
Practice address
286 5TH AVE FL 7, NEW YORK, NY 10001-4559
(347) 737-1612
(408) 538-3702
Mailing address
183 PINEHURST AVE APT E6, NEW YORK, NY 10033-1846
(347) 737-1612
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
801787
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
404231
NY
Other
Enumeration date
04/26/2021
Last updated
04/22/2023
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