Individual provider · Type 1 NPI

Jetti Nainggolan Correa

Registered Nurse · Brooklyn, NY

NPI number 1386509487 Active

Practice location

2008 E 61st St
Brooklyn, NY 11234-5908

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse Primary 163W00000X491329 (NY)

Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…

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About NPI 1386509487

Jetti Nainggolan Correa's National Provider Identifier is 1386509487, issued on Dec 19, 2025. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Brooklyn, NY. The record was last updated on Dec 19, 2025.