Individual
JENNIFER ROSE FAUSTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, WHNP
Contact information
Practice address
4813 9TH AVE, BROOKLYN, NY 11220-2484
(718) 283-9053
Mailing address
4802 10TH AVE, BROOKLYN, NY 11219-2916
(347) 543-9057
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
421594
NY
Other
Enumeration date
10/28/2022
Last updated
03/26/2024
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