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:
Health care specialties
Specialty | Code | License # | 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 11 months 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1255880480 | NPPES |
New York | MEDICAID | 04999088 |
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