Individual
MISS JENNIFER ELAINE KOONINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
200 TILLARY ST, BROOKLYN, NY 11201-3010
(718) 855-7485
Mailing address
3149 29TH ST APT D5, ASTORIA, NY 11106-3312
(415) 596-2129
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F405573-01
NY
Other
Enumeration date
04/12/2024
Last updated
04/12/2024
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