Individual provider · Type 1 NPI
Colletta Latoya Jerrick, NURSE PRACTITIONER
Psychiatric/Mental Health Nurse Practitioner · Bay Shore, NY
NPI number
1922720887
Active
Practice location
1548 E Forks Rd
Bay Shore, NY 11706-3144
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | F403813-01 (NY) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1922720887
Colletta Latoya Jerrick, NURSE PRACTITIONER's National Provider Identifier is 1922720887, issued on Sep 16, 2022. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Bay Shore, NY. The record was last updated on Sep 16, 2022.