MEDICARE: NANCY JEAN-PIERRE

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	0024183440	VA
2	390200000X	Student in an Organized Health Care Education/Training Program
3	363LF0000X	Family Nurse Practitioner	R226432	MD

General Provider Information

NPI Number	:	1245795517
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NANCY JEAN-PIERRE

Provider Business Mailing Address
First Line	:	327 BEACH 19TH ST
Second Line	:
City	:	FAR ROCKAWAY
State	:	NY
Zip	:	11691-4423
Country	:	US
Telephone Number	:	718-869-7000
Fax Number	:

Provider Business Practice Location Address
First Line	:	1554 COLUMBIA PIKE
Second Line	:
City	:	ARLINGTON
State	:	VA
Zip	:	22204-4667
Country	:	US
Telephone Number	:	703-841-0703
Fax Number	:	571-297-9809

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

Provider Enumeration Date	:	01/31/2019
Last Update Date	:	04/17/2025

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