Individual
DR. ANGELA JESSICA TATIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, PMHNP-BC
Contact information
Practice address
907 BELMORE AVE, ISLIP TERRACE, NY 11752-1005
(631) 944-8399
(631) 944-8390
Mailing address
907 BELMORE AVE, ISLIP TERRACE, NY 11752-1005
(631) 944-8399
(631) 944-8390
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
322490
NC
163W00000X
Registered Nurse
708205-1
NY
163W00000X
Registered Nurse
97335
HI
163W00000X
Registered Nurse
R224983
MD
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
403756
NY
Other
Enumeration date
05/06/2020
Last updated
05/15/2025
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