Individual provider · Type 1 NPI

Jenny Shek, CPNP-PC

Pediatric Nurse Practitioner · New York, NY

NPI number 1104200187 Active

Practice location

3959 Broadway, Chny 10N 10-16
New York, NY 10032

Other practice locations

  • 3959 Broadway, Chny 10N 10-16, New York, NY 10032 · (212) 305-5593

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200X382648 (NY)
Registered Nurse 163W00000XRN2305976 (MA)
Registered Nurse 163W00000X688119 (NY)
Pediatric Nurse Practitioner 363LP0200XRN2305976 (MA)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1104200187

Jenny Shek, CPNP-PC's National Provider Identifier is 1104200187, issued on Jul 19, 2015. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in New York, NY. The record was last updated on Nov 20, 2019.