Individual
JENNA C MEYERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
C.P.N.P.- P.C.
Contact information
Practice address
5645 MAIN ST, FLUSHING, NY 11355-5045
(718) 670-1947
Mailing address
5645 MAIN ST, FLUSHING, NY 11355-5045
(718) 670-1947
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
704259
NY
363LP0200X
Pediatric Nurse Practitioner
Primary
382723
NY
Other
Enumeration date
07/23/2016
Last updated
11/17/2017
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