Healthcare Provider Details

I. General information

NPI: 1821411406
Provider Name (Legal Business Name): JENNIE TURENNE RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/02/2014
Last Update Date: 02/02/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

50 CLINTON ST STE 601
HEMPSTEAD NY
11550-4282
US

IV. Provider business mailing address

1510 E 55TH ST
BROOKLYN NY
11234-3902
US

V. Phone/Fax

Practice location:
  • Phone: 516-933-0485
  • Fax: 516-933-1923
Mailing address:
  • Phone: 917-204-9642
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WH0200X
TaxonomyHome Health Registered Nurse
License Number680411
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: