Individual provider · Type 1 NPI
Moufditi Jean Philippe Lerebours, PMHNP-BC
Psychiatric/Mental Health Nurse Practitioner · Bronx, NY
NPI number
1699282152
Active
Practice location
1265 Franklin Ave
Bronx, NY 10456-3501
Mailing address
1276 Fulton Ave
Bronx, NY 10456-3467
Other practice locations
- 2015 Grand Concourse, Bronx, NY 10453 · (718) 299-7295
- 150 Liberty Pkwy Apt C12, Spring Valley, NY 10977-5341 · (845) 416-2396
- 150 Liberty Pkwy Apt C12, Spring Valley, NY 10977-5341 · (845) 416-2396
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 406229 (NY) |
| Family Nurse Practitioner | 363LF0000X | F342102 (NY) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1699282152
Moufditi Jean Philippe Lerebours, PMHNP-BC's National Provider Identifier is 1699282152, issued on Jan 5, 2018. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Bronx, NY. The record was last updated on Sep 3, 2024.