Individual provider · Type 1 NPI

Alyssa Jensen, PNP

Pediatric Nurse Practitioner · Staten Island, NY

NPI number 1730584574 Active

Practice location

2066 Richmond Ave
Staten Island, NY 10314-3916

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200X382495 (NY)

Pediatric Nurse Practitioner: Definition to come...

19 other providers at this address

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About NPI 1730584574

Alyssa Jensen, PNP's National Provider Identifier is 1730584574, issued on Oct 22, 2014. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Staten Island, NY. The record was last updated on Oct 22, 2014.