Individual
MR. JASON MEISEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PMHNP-BC, RN-BC
Contact information
Practice address
641 PRESIDENT ST STE 201, BROOKLYN, NY 11215-1186
(740) 777-6184
(206) 309-3725
Mailing address
641 PRESIDENT ST STE 201, BROOKLYN, NY 11215-1186
(740) 777-6184
(206) 309-3725
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
612103
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F401965
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2016002199
PMHNP LICENSE
NY
Enumeration date
05/06/2015
Last updated
03/23/2022
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