Individual provider · Type 1 NPI

Shoaba Jaikissoon, FNP

Family Nurse Practitioner · New Hyde Park, NY

NPI number 1043825201 Active

Practice location

410 Lakeville Rd
New Hyde Park, NY 11042-1101

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XF346003-01 (NY)

Family Nurse Practitioner: Definition to come...

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About NPI 1043825201

Shoaba Jaikissoon, FNP's National Provider Identifier is 1043825201, issued on Sep 14, 2020. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in New Hyde Park, NY. The record was last updated on Sep 14, 2020.