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NPI Code Detail

MEDICARE: JENNIFER NOEL

MEDICARE: JENNIFER NOEL
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
1163W00000XRegistered Nurse735339NY

General Provider Information

NPI Number : 1164908125
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNIFER NOEL
Provider Business Mailing Address
First Line : 9 SLINN AVE APT C11
Second Line :
City : SPRING VALLEY
State : NY
Zip : 10977-4264
Country : US
Telephone Number : 845-553-2355
Fax Number :
Provider Business Practice Location Address
First Line : 860 MELROSE AVE
Second Line :
City : BRONX
State : NY
Zip : 10451-4443
Country : US
Telephone Number : 917-473-6996
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/12/2018
Last Update Date : 07/12/2018

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Directions to “ JENNIFER NOEL ” Practice Location

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