MEDICARE: JEANEAN AMINGDNP FAMILY HEALTH NP PLLC

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
1	163WP0808X	Psychiatric/Mental Health Registered Nurse

General Provider Information

NPI Number	:	1184472748
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JEANEAN AMINGDNP FAMILY HEALTH NP PLLC

Provider Business Mailing Address
First Line	:	1285 US HIGHWAY 9 STE 7B
Second Line	:
City	:	WAPPINGERS FALLS
State	:	NY
Zip	:	12590-4417
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1285 US HIGHWAY 9 STE 7B
Second Line	:
City	:	WAPPINGERS FALLS
State	:	NY
Zip	:	12590-4417
Country	:	US
Telephone Number	:	845-380-2450
Fax Number	:

Authorized Official
Title or Position	:	NP
Name	:	JEANEAN AMING
Credential	:
Telephone Number	:	845-380-2450

Provider Enumeration Date	:	05/08/2024
Last Update Date	:	05/08/2024

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