Individual
MRS. JAIME PANTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP-AC/PC
Contact information
Practice address
516 W 168TH ST, NEW YORK, NY 10032-4103
(212) 326-5705
Mailing address
516 W 168TH ST, NEW YORK, NY 10032-4103
(212) 326-5705
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
382878
NY
363LP0200X
Pediatric Nurse Practitioner
AP05231
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1014435
—
LA
Enumeration date
06/04/2007
Last updated
04/16/2024
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