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NPI Code Detail

MEDICARE: JG NP IN FAMILY HEALTH, PLLC

MEDICARE: JG NP IN FAMILY HEALTH, 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
1363LF0000XFamily Nurse Practitioner
2363LP0808XPsychiatric/Mental Health Nurse Practitioner
3363L00000XNurse Practitioner

General Provider Information

NPI Number : 1669326963
Entity Type Code : Organization
Provider Name (Legal Business Name) : JG NP IN FAMILY HEALTH, PLLC
Provider Business Mailing Address
First Line : 629 E 22ND ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11210-1101
Country : US
Telephone Number : 917-804-3705
Fax Number :
Provider Business Practice Location Address
First Line : 629 E 22ND ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11210-1101
Country : US
Telephone Number : 917-804-3705
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : JENNIFER GARIB
Credential : FNP-BC
Telephone Number : 917-804-3705
Provider Enumeration Date : 02/24/2026
Last Update Date : 02/24/2026

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