Healthcare Provider Details

I. General information

NPI: 1053653816
Provider Name (Legal Business Name): JCH REGISTERED NURSE SERVICES PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/20/2013
Last Update Date: 10/09/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

577 PROSPECT AVE BSMT SUITE
BROOKLYN NY
11215-6065
US

IV. Provider business mailing address

306 GOLD ST APT 32A
BROOKLYN NY
11201-3051
US

V. Phone/Fax

Practice location:
  • Phone: 718-369-1444
  • Fax: 718-369-3066
Mailing address:
  • Phone: 732-889-0868
  • Fax: 732-889-5167

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number
License Number State

VIII. Authorized Official

Name: MISS JENNIFER CORETTA HARVEY
Title or Position: PRESIDENT/OWNER
Credential: CRNA
Phone: 732-899-0868