Individual provider · Type 1 NPI
Jihane Real, FNP
Primary Care Nurse Practitioner · Roosevelt, NY
NPI number
1245682616
Active
Practice location
380 Washington Ave
Roosevelt, NY 11575-1845
Mailing address
2789 1st Pl
Baldwin, NY 11510-4029
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner | 363LF0000X | F339249-1 (NY) |
| Primary Care Nurse Practitioner Primary | 363LP2300X | F339249 (NY) |
| Family Nurse Practitioner | 363LF0000X | F339249 (NY) |
Primary Care Nurse Practitioner: Definition to come...
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About NPI 1245682616
Jihane Real, FNP's National Provider Identifier is 1245682616, issued on Jul 8, 2016. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Roosevelt, NY. The record was last updated on Oct 11, 2016.