Organization
GREENLIGHT HEALTH
Active
Other names
Greenlight Chronic Care Health Coach
Organization subpart
No
Provider details
NPI number
Authorized official
JEANNELLE ERNEST-HILL (FOUNDER/PRESIDENT)
(914) 494-5629
Entity
Organization
Contact information
Practice address
11 W PROSPECT AVE # 35, MOUNT VERNON, NY 10550-2017
(914) 494-5629
Mailing address
11 W PROSPECT AVE # 35, MOUNT VERNON, NY 10550-2017
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
608167
NY
163WC0400X
Case Management Registered Nurse
Primary
678305
NY
163WC1500X
Community Health Registered Nurse
608167
NY
163WD0400X
Diabetes Educator Registered Nurse
678305
NY
163WG0000X
General Practice Registered Nurse
342021
NY
163WN1003X
Nutrition Support Registered Nurse
678305
NY
363LC1500X
Community Health Nurse Practitioner
342021
NY
Other
Enumeration date
08/03/2017
Last updated
08/03/2017
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