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NPI Code Detail

MEDICARE: JERONE BUCHANAN RN

MEDICARE: JERONE BUCHANAN RN
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 Nurse384584NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1427564608
Entity Type Code : Individual
Provider Name (Legal Business Name) : JERONE BUCHANAN RN
Provider Business Mailing Address
First Line : 265 ASHLAND PL
Second Line :
City : BROOKLYN
State : NY
Zip : 11217-1661
Country : US
Telephone Number : 718-734-0800
Fax Number :
Provider Business Practice Location Address
First Line : 265 ASHLAND PL
Second Line :
City : BROOKLYN
State : NY
Zip : 11217-1661
Country : US
Telephone Number : 718-858-7200
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/25/2017
Last Update Date : 12/25/2017

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