Individual provider · Type 1 NPI

Jeanna M. Desisto, NURSE PRACTITIONER

Acute Care Nurse Practitioner · New York, NY

NPI number 1063285666 Active

Practice location

1468 Madison Ave
New York, NY 10029-6508

Mailing address

42 Laudaten Way
Warwick, NY 10990-3835

Specialties and licenses

TaxonomyCodeLicense
Acute Care Nurse Practitioner Primary 363LA2100XF432777 (NY)

Acute Care Nurse Practitioner: Definition to come...

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About NPI 1063285666

Jeanna M. Desisto, NURSE PRACTITIONER's National Provider Identifier is 1063285666, issued on Nov 6, 2023. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in New York, NY. The record was last updated on Nov 6, 2023.