Individual provider · NPI-1

Jeffrey Joseph Jerome, FNP

Nurse Practitioner, Family · Babylon, NY

NPI number1447522552
StatusActive
Last updated in NPPESMar 17, 2018

Details

NPI
1447522552
Entity type
Individual (NPI-1)
Name
Mr. Jeffrey Joseph Jerome
Credential
FNP
Sex
Male
Sole proprietor
Yes
Enumeration date
Feb 4, 2012
Last updated
Mar 17, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LF0000X Nurse Practitioner, FamilyF340770-1NYYes
163W00000X Registered Nurse626452NY

Practice location

350 W Main St
Babylon, NY 11702-3417

Phone 631-661-2277

Mailing address

350 W Main St
Babylon, NY 11702-3417

Phone 631-661-2277 · Fax 631-669-2190

Other practice locations

350 W Main St
Babylon, NY 11702-3417

Phone 631-661-2277 · Fax 631-669-2190

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