Individual
JERICKA DANIELS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2811 QUEENS PLZ N, LONG ISLAND CITY, NY 11101-4172
(646) 225-8441
Mailing address
2426 LURTING AVE, BRONX, NY 10469-4404
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
9516976
FL
163WC0400X
Case Management Registered Nurse
726905-1
NY
163WH0200X
Home Health Registered Nurse
9516976
FL
163WS0200X
School Registered Nurse
Primary
307677
NY
164W00000X
Licensed Practical Nurse
307677-1
NY
Other
Enumeration date
04/05/2013
Last updated
12/24/2024
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