Individual provider · Type 1 NPI
Caroline A. Kennedy
Adult Health Nurse Practitioner · Stony Brook, NY
NPI number
1891671178
Active
Practice location
101 Nicolls Rd
Stony Brook, NY 11794-0001
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner Primary | 363LA2200X | 312417 (NY) |
Adult Health Nurse Practitioner: Definition to come...
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About NPI 1891671178
Caroline A. Kennedy's National Provider Identifier is 1891671178, issued on Aug 13, 2025. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Stony Brook, NY. The record was last updated on Aug 13, 2025.