Healthcare Provider Details

I. General information

NPI: 1043148026
Provider Name (Legal Business Name): PIERCE NP FAMILY HEALTH PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/11/2026
Last Update Date: 05/11/2026
Certification Date: 05/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10 LITTLE BRITAIN RD STE 101
NEWBURGH NY
12550-5161
US

IV. Provider business mailing address

3204 US ROUTE 9W APT 16D
NEW WINDSOR NY
12553-6780
US

V. Phone/Fax

Practice location:
  • Phone: 315-491-1099
  • Fax:
Mailing address:
  • Phone: 315-491-1099
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: NAKISHA PIERCE
Title or Position: OWNER
Credential:
Phone: 315-491-1099