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NPI Code Detail

MEDICARE: JOCELYN CHARLON NP

MEDICARE:   JOCELYN  CHARLON  NP
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
1363LA2200XAdult Health Nurse Practitioner306504NY

General Provider Information

NPI Number : 1487095600
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOCELYN CHARLON NP
Provider Business Mailing Address
First Line : 3744 75TH ST
Second Line :
City : JACKSON HEIGHTS
State : NY
Zip : 11372-6444
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3744 75TH ST
Second Line :
City : JACKSON HEIGHTS
State : NY
Zip : 11372-6444
Country : US
Telephone Number : 718-803-7300
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/16/2013
Last Update Date : 07/16/2013

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