Angel Mariam Jinson, NP
Nurse Practitioner, Psych/Mental Health in West Hempstead, NY. Individual provider (NPI-1).
NPI number1558058206
StatusActive
Last updated in NPPESOct 21, 2023
Details
- NPI
- 1558058206
- Entity type
- Individual (NPI-1)
- Name
- Angel Mariam Jinson
- Credential
- NP
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 21, 2023
- Certification date
- Oct 21, 2023
- Last updated
- Oct 21, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | 404302 | NY | Yes |
Other names
- Angel Mariam Simon (Former Name)
Practice location
510 Hempstead Tpke Rm 203West Hempstead, NY 11552-1152
Phone 516-505-7200 · Fax 949-419-3482
Mailing address
221 Clearmeadow DrEast Meadow, NY 11554-1211
Phone 347-515-9296
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