Individual
JING TIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
4500 PARSONS BLVD, FLUSHING, NY 11355-2205
(718) 321-6192
Mailing address
17005 29TH AVE, FLUSHING, NY 11358-1506
(917) 838-8577
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F309353
NY
Other
Enumeration date
08/08/2019
Last updated
05/15/2024
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