MEDICARE: CLAUDINE JENNIFER PEARSON

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	358745	NY

General Provider Information

NPI Number	:	1164356051
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CLAUDINE JENNIFER PEARSON

Provider Business Mailing Address
First Line	:	15704 110TH AVE
Second Line	:
City	:	JAMAICA
State	:	NY
Zip	:	11433-3130
Country	:	US
Telephone Number	:	347-238-5869
Fax Number	:

Provider Business Practice Location Address
First Line	:	15704 110TH AVE
Second Line	:
City	:	JAMAICA
State	:	NY
Zip	:	11433-3130
Country	:	US
Telephone Number	:	347-238-5869
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/09/2026
Last Update Date	:	06/09/2026

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Directions to “ CLAUDINE JENNIFER PEARSON ” Practice Location

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