Individual
MS. JENNIFER CONSTANCE MCKENNA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
1 BALTIC PL STE 201A, CROTON ON HUDSON, NY 10520-1641
(914) 418-4580
(914) 485-4518
Mailing address
1 BALTIC PL STE 201A, CROTON ON HUDSON, NY 10520-1641
(914) 418-4580
(914) 485-4518
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
F381954-1
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
401330
NY
Other
Enumeration date
08/16/2010
Last updated
07/23/2019
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