Individual provider · Type 1 NPI

Jennifer Portal, FNP

Family Nurse Practitioner · Patchogue, NY

NPI number 1457247264 Active

Practice location

155 E Woodside Ave
Patchogue, NY 11772-1421

Mailing address

44 Pennsylvania Ave
Medford, NY 11763-3718

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000X785981 (NY)
Family Nurse Practitioner Primary 363LF0000X357413 (NY)

Family Nurse Practitioner: Definition to come...

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About NPI 1457247264

Jennifer Portal, FNP's National Provider Identifier is 1457247264, issued on Jun 17, 2025. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Patchogue, NY. The record was last updated on Jul 24, 2025.