Individual
JENNIFER RUTH BLANK QUINTERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NPP
Contact information
Practice address
46 LINCOLN AVE, POUGHKEEPSIE, NY 12601-4518
(845) 471-6004
Mailing address
46 LINCOLN AVE, POUGHKEEPSIE, NY 12601-4518
(845) 471-6004
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
401615
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03770394
—
NY
Enumeration date
07/01/2013
Last updated
02/18/2025
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