Individual provider · Type 1 NPI
Jenna Marie Candemeres, CPNP-PC
Pediatric Nurse Practitioner · Port Jefferson Station, NY
NPI number
1932965688
Active
Practice location
112 Terryville Rd
Port Jefferson Station, NY 11776-1329
Mailing address
38 Ferraro Dr
Holbrook, NY 11741-5320
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | 383487 (NY) |
Pediatric Nurse Practitioner: Definition to come...
4 other providers at this address
- Adelaide Lu Masakayan, MDPediatrics Physician Port Jefferson Station, NY NPI 1902970577
- Amanda FoyPhysician Assistant Port Jefferson Station, NY NPI 1053138263
- Brenna Katherine Buckstein, MSPAS, PA-CPhysician Assistant Port Jefferson Station, NY NPI 1932065331
- John J. Ricciardelli, MDInternal Medicine Physician Port Jefferson Station, NY NPI 1497729099
Other pediatric nurse practitioner providers in Port Jefferson Station
About NPI 1932965688
Jenna Marie Candemeres, CPNP-PC's National Provider Identifier is 1932965688, issued on Feb 21, 2024. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Port Jefferson Station, NY. The record was last updated on Feb 21, 2024.