Individual provider · Type 1 NPI
Elizabeth Jane Kenney, PNP
Pediatric Nurse Practitioner · Medford, NY
NPI number
1649064411
Active
Practice location
2799 Route 112 Ste 7&11
Medford, NY 11763-2535
Fax (631) 732-6222
Mailing address
75 Terrace Dr
East Northport, NY 11731-1229
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | F383766-01 (NY) |
Pediatric Nurse Practitioner: Definition to come...
Other pediatric nurse practitioner providers in Medford
About NPI 1649064411
Elizabeth Jane Kenney, PNP's National Provider Identifier is 1649064411, issued on Apr 7, 2025. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Medford, NY. The record was last updated on Apr 7, 2025.