Individual
JILLIAN FAYE HAIES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP,WHNP
Contact information
Practice address
801 AMSTERDAM AVE, NEW YORK, NY 10025-5752
(212) 749-1820
Mailing address
801 AMSTERDAM AVE, NEW YORK, NY 10025-5752
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F305063
NY
363LW0102X
Women's Health Nurse Practitioner
F420913
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00695941
—
NY
Enumeration date
04/08/2009
Last updated
09/04/2013
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