Individual
JOLENE ANN KNIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, PMHNP
Contact information
Practice address
227 COMMACK RD, MASTIC BEACH, NY 11951-3427
(631) 578-5080
Mailing address
227 COMMACK RD, MASTIC BEACH, NY 11951-3427
(631) 578-5080
Taxonomy
Speciality
Code
Description
License number
State
163WG0600X
Gerontology Registered Nurse
759874
NY
164W00000X
Licensed Practical Nurse
310830-1
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
405075
NY
Other
Enumeration date
08/15/2012
Last updated
10/02/2023
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