Individual provider · Type 1 NPI
Jodi Friedberg, RN
Nurse Practitioner · Port Jefferson Station, NY
Practice location
509 Route 112
Port Jefferson Station, NY 11776-1006
Fax (631) 693-1358
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 2023002264 (NY) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
Another provider at this address
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About NPI 1023429578
Jodi Friedberg, RN's National Provider Identifier is 1023429578, issued on May 17, 2014. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Port Jefferson Station, NY. The record was last updated on Jul 31, 2026.