Individual provider · Type 1 NPI

Chimere McConnell, NP

Nurse Practitioner · Bronx, NY

NPI number 1104121201 Active

Practice location

2052 Tillotson Ave
Bronx, NY 10475-1560

Mailing address

359 Rea Ave
Hawthorne, NJ 07506-1129

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse 164W00000X298189 (NY)
Nurse Practitioner Primary 363L00000X350717 (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…

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About NPI 1104121201

Chimere McConnell, NP's National Provider Identifier is 1104121201, issued on Jan 20, 2011. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Bronx, NY. The record was last updated on Jun 2, 2023.