Individual provider · Type 1 NPI
Kathleen Fentress Tripp, PMHNP-BC
Psychiatric/Mental Health Nurse Practitioner · Long Island City, NY
NPI number
1306196795
Active
Practice location
41-43 Crescent Street
Long Island City, NY 11101
Mailing address
555 Bergen Ave, Jewish Child Care Association
Bronx, NY 10455-1368
Other practice locations
- 555 Bergen Ave, Jewish Child Care Association, Bronx, NY 10455-1368 · (718) 742-8550
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 654113 (NY) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 401518 (NY) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1306196795
Kathleen Fentress Tripp, PMHNP-BC's National Provider Identifier is 1306196795, issued on Sep 13, 2012. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Long Island City, NY. The record was last updated on Mar 17, 2018.