Individual provider · Type 1 NPI

Rose Mary Jibin

Family Nurse Practitioner · New Hyde Park, NY

NPI number 1467228429 Active

Practice location

450 Lakeville Rd
New Hyde Park, NY 11042-1118

Mailing address

28 Ribbon St
Franklin Square, NY 11010-4304

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XF351200 (NY)

Family Nurse Practitioner: Definition to come...

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About NPI 1467228429

Rose Mary Jibin's National Provider Identifier is 1467228429, issued on Nov 30, 2023. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in New Hyde Park, NY. The record was last updated on Nov 30, 2023.