Individual
MRS. JOLIENNE ADRIA WALTERS-HARVEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
79 MIDDLEVILLE ROAD, DEPARTMENT OF VETERANS AFFAIRS, NORTHPORT, NY 11768
(631) 261-4400
Mailing address
252 CROMBIE ST, HUNTINGTON STATION, NY 11746-1506
(631) 223-2737
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
401410-1
NY
Other
Enumeration date
12/23/2011
Last updated
12/23/2011
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