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General NPI Number Information
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NPI Number | 1497619407
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Entity Type | Organization
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Legal Business Name | JENNIFER CASTILLO, NURSE PRACTITIONER IN ADULT HEALTH, PLLC
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Dates
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Enumeration Date | 12/13/2025
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Last Update Date | 12/13/2025
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Provider Practice Location Address
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Address Line | 1386 WHITTIER AVE
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City | MERRICK
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State | NY
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Zip | 11566-1739
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Country | US
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Telephone | 646-401-1852
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Fax |
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Provider Business Mailing Address
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Address Line | 1386 WHITTIER AVE
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City | MERRICK
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State | NY
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Zip | 11566-1739
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Country | US
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Telephone | 646-401-1852
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Fax |
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Authorized Official
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Title or Position | NURSE PRACTITIONER/ OWNER
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Name | MRS. JENNIFER CASTILLO
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Credential | NP, MSN, AGP
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Telephone | 646-401-1852
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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