Individual
JENNIFER A. CALDWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, ANP
Contact information
Practice address
1275 YORK AVE, NEW YORK, NY 10065-6007
(212) 610-0488
Mailing address
1275 YORK AVE, NEW YORK, NY 10065-6007
(212) 610-0488
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
304177
NY
363LA2200X
Adult Health Nurse Practitioner
716176
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
176129801
—
TX
Enumeration date
11/01/2006
Last updated
09/22/2015
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