Individual provider · Type 1 NPI
Jonathon Charles Wenke, FNP
Family Nurse Practitioner · Bay Shore, NY
NPI number
1124681242
Active
Practice location
375 E Main St Ste 26
Bay Shore, NY 11706-8418
Fax (631) 350-7803
Mailing address
1 E Roe Blvd
Patchogue, NY 11772-2631
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 344101 (NY) |
Family Nurse Practitioner: Definition to come...
Another provider at this address
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About NPI 1124681242
Jonathon Charles Wenke, FNP's National Provider Identifier is 1124681242, issued on Apr 15, 2019. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Bay Shore, NY. The record was last updated on May 6, 2026.