Individual provider · Type 1 NPI

Kelly Jean Wisniewski, AGNP

Adult Health Nurse Practitioner · Roslyn, NY

NPI number 1467254425 Active

Practice location

100 Port Washinton Blvd
Roslyn, NY 11576

Call (516) 390-9640 Map

Mailing address

55 Frankel Rd
Massapequa, NY 11758-7260

Specialties and licenses

TaxonomyCodeLicense
Adult Health Nurse Practitioner Primary 363LA2200X312048 (NY)

Adult Health Nurse Practitioner: Definition to come...

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About NPI 1467254425

Kelly Jean Wisniewski, AGNP's National Provider Identifier is 1467254425, issued on Mar 27, 2025. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Roslyn, NY. The record was last updated on Mar 27, 2025.