MEDICARE: JANNA SHEIRE FNP

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	207Q00000X	Family Medicine Physician	F350902	NY

General Provider Information

NPI Number	:	1356045140
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JANNA SHEIRE FNP

Provider Business Mailing Address
First Line	:	1840 E 13TH ST APT 2E
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11229-2856
Country	:	US
Telephone Number	:	347-553-6584
Fax Number	:

Provider Business Practice Location Address
First Line	:	11014 JAMAICA AVE
Second Line	:
City	:	RICHMOND HILL
State	:	NY
Zip	:	11418-2320
Country	:	US
Telephone Number	:	718-805-1499
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/28/2023
Last Update Date	:	03/28/2023

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