Individual provider · Type 1 NPI

Jenna Marie Diana, CPNP-PC

Pediatric Nurse Practitioner · New Hyde Park, NY

NPI number 1417686809 Active

Practice location

26901 76th Ave
New Hyde Park, NY 11040-1433

Mailing address

61 Huntington Ave
Lynbrook, NY 11563-3735

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200X383207 (NY)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1417686809

Jenna Marie Diana, CPNP-PC's National Provider Identifier is 1417686809, issued on Jun 9, 2022. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in New Hyde Park, NY. The record was last updated on Mar 27, 2023.