Individual
JENNY ROSE PERSSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ACNP
Contact information
Practice address
1275 YORK AVENUE, MANHATTAN, NY 10065
(212) 639-2000
Mailing address
319 WEST CHELTEN AVENUE, 205, PHILADELPHIA, PA 19144
(307) 760-1376
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
430758
NY
Other
Enumeration date
08/30/2013
Last updated
08/30/2013
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