Jarrett, Stacy-Ann Gerdine

Jarrett, Stacy-Ann Gerdine is an individual health care provider with primary practice located at 615 Broadway Apt 74 , Amityville NY 11701-2142. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Physician Assistants & Advanced Practice Nursing Providers / Family. Other Service Providers / Specialist is her primary health care specialty. Jarrett, Stacy-Ann Gerdine can be contacted via phone (134) 764-5933.

Contact Information

Primary practice address
615 Broadway Apt 74 Amityville NY 11701-2142
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X F3369-1 New York
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X F3369-1 New York

Profile Details

NPI number 1225394422
LBN Legal business name Jarrett, Stacy-Ann Gerdine
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 2nd, 2012
Last updated Apr 2nd, 2012 - about 12 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.

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