Individual
SHARON DE JESUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3016 31ST ST, ASTORIA, NY 11102-1866
(917) 557-5741
(347) 935-3936
Mailing address
3016 31ST ST, ASTORIA, NY 11102-1866
(347) 935-3333
(347) 935-3936
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
454074
NY
363L00000X
Nurse Practitioner
400845
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
400845
NY
Other
Enumeration date
10/18/2006
Last updated
01/22/2011
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