Individual provider · Type 1 NPI
Jesse Taylor Bua, PMHNP-BC
Psychiatric/Mental Health Nurse Practitioner · Syosset, NY
NPI number
1376379446
Active
Practice location
175 Jericho Tpke Ste 216
Syosset, NY 11791-4538
Mailing address
315 Atlantic Ave Apt 2P
East Rockaway, NY 11518-1103
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | F407602-01 (NY) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
3 other providers at this address
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About NPI 1376379446
Jesse Taylor Bua, PMHNP-BC's National Provider Identifier is 1376379446, issued on Sep 13, 2024. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Syosset, NY. The record was last updated on Mar 16, 2026.