Individual
MS. REHANA JAGGERNAUTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, RN,FNP-C
Contact information
Practice address
9031 210TH ST, QUEENS VILLAGE, NY 11428-1018
(718) 776-3744
Mailing address
3 MARY LN, GREENVALE, NY 11548-1127
(718) 776-3744
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
595940
NY
363L00000X
Nurse Practitioner
Primary
354402
NY
Other
Enumeration date
11/26/2008
Last updated
01/27/2026
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