Individual provider · Type 1 NPI
Jeannine Assogba, FNP, PMHNP
Psychiatric/Mental Health Nurse Practitioner · Bronx, NY
NPI number
1376066415
Active
Practice location
3424 Kossuth Ave # 11A-19
Bronx, NY 10467-2410
Mailing address
3424 Kossuth Ave Fl 11A-19
Bronx, NY 10467-2410
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 340611 (NY) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 405118 (NY) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1376066415
Jeannine Assogba, FNP, PMHNP's National Provider Identifier is 1376066415, issued on Jul 20, 2017. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Bronx, NY. The record was last updated on May 23, 2024.