Individual provider · Type 1 NPI

Grace Jetawo, RN

Registered Nurse · Ardsley, NY

NPI number 1164974069 Active

Practice location

547 Saw Mill River Rd, Suite 3A
Ardsley, NY 10502-2143

Mailing address

45 Twin Pines Dr, Apt 13C
Brooklyn, NY 11239-1810

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse Primary 163W00000X698471-1 (NY)

Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…

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About NPI 1164974069

Grace Jetawo, RN's National Provider Identifier is 1164974069, issued on Oct 27, 2016. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Ardsley, NY. The record was last updated on Oct 27, 2016.