Individual
JENNA DENNINE PEART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4771 HYLAN BLVD, STATEN ISLAND, NY 10312-6315
(718) 948-8200
(718) 317-4111
Mailing address
PO BOX 5730, BELFAST, ME 04915-5700
(888) 402-7256
(888) 902-1099
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1189246
TX
363L00000X
Nurse Practitioner
345554
NY
363LF0000X
Family Nurse Practitioner
345554
NY
Other
Enumeration date
01/05/2021
Last updated
06/24/2026
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