Jumoke Betancourt
Nurse Practitioner, Adult Health in Bronx, NY. Individual provider (NPI-1).
NPI number1669954533
StatusActive
Last updated in NPPESSep 6, 2018
Details
- NPI
- 1669954533
- Entity type
- Individual (NPI-1)
- Name
- Miss Jumoke Betancourt
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 6, 2018
- Last updated
- Sep 6, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LA2200X | Nurse Practitioner, Adult Health | F307158 | NY | Yes |
Practice location
2015 Grand ConcourseBronx, NY 10453-4303
Phone 718-299-7295 · Fax 718-299-6797
Mailing address
3198 Grand ConcourseBronx, NY 10458-1000
Phone 718-618-0401 · Fax 347-479-1303
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