Individual provider · Type 1 NPI
Jumoke Betancourt
Adult Health Nurse Practitioner · Bronx, NY
NPI number
1669954533
Active
Practice location
2015 Grand Concourse
Bronx, NY 10453-4303
Fax (718) 299-6797
Mailing address
3198 Grand Concourse
Bronx, NY 10458-1000
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner Primary | 363LA2200X | F307158 (NY) |
Adult Health Nurse Practitioner: Definition to come...
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About NPI 1669954533
Jumoke Betancourt's National Provider Identifier is 1669954533, issued on Sep 6, 2018. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Bronx, NY. The record was last updated on Sep 6, 2018.