Individual provider · Type 1 NPI
Jennifer Shakuntala Persad, NP
Primary Care Nurse Practitioner · Valley Stream, NY
NPI number
1932345865
Active
Practice location
27 Verona Pl
Valley Stream, NY 11580-5421
Fax (516) 812-0071
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 513619 (NY) |
| Primary Care Nurse Practitioner Primary | 363LP2300X | 513619 (NY) |
Primary Care Nurse Practitioner: Definition to come...
Other primary care nurse practitioner providers in Valley Stream
About NPI 1932345865
Jennifer Shakuntala Persad, NP's National Provider Identifier is 1932345865, issued on Dec 24, 2008. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Valley Stream, NY. The record was last updated on Dec 24, 2008.