Agyepong, Jayne

Agyepong, Jayne is an individual health care provider with primary practice located at 2015 Grand Concourse , Bronx NY 10453-4303. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Agyepong, Jayne can be contacted via phone (718) 299-7295.

Contact Information

Primary practice address
2015 Grand Concourse Bronx NY 10453-4303
Phone: (718) 299-7295
Fax: (718) 299-6791
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 337271 New York

Profile Details

NPI number 1508124322
LBN Legal business name Agyepong, Jayne
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 30th, 2012
Last updated Jul 17th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1508124322 NPPES
New York MEDICAID 03586629

Popular Providers