Individual provider · Type 1 NPI
Jonathan Charles Dyckman, PMHNP
Psychiatric/Mental Health Nurse Practitioner · Yonkers, NY
NPI number
1366081697
Active
Practice location
127 S Broadway
Yonkers, NY 10701-4006
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | 682002 (NY) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 402902 (NY) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1366081697
Jonathan Charles Dyckman, PMHNP's National Provider Identifier is 1366081697, issued on Jan 3, 2020. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Yonkers, NY. The record was last updated on May 13, 2020.