Kershaw-Morris, Joan

Kershaw-Morris, Joan is an individual health care provider with primary practice located at 2101 41St Ave , Long Island City NY 11101-4801. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Kershaw-Morris, Joan can be contacted via phone (718) 784-2240.

Contact Information

Primary practice address
2101 41St Ave Long Island City NY 11101-4801
Phone: (718) 784-2240
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AC001898 Maryland
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X LG-0000956 Delaware
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 0341330 New York

Profile Details

NPI number 1255880480
LBN Legal business name Kershaw-Morris, Joan
Credentials NP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 29th, 2016
Last updated Jan 12th, 2024 - about 2 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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Identifiers

StateTypeNumberIssuer
All States NPI 1255880480 NPPES
New York MEDICAID 04999088

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