Jennifer Anne Zethner
Nurse Practitioner - Pediatrics
220 Fort Salonga Rd Suite 101
Northport
, New York 11768-3900
Jennifer Anne Zethner
Nurse Practitioner - Pediatrics
220 Fort Salonga Rd Suite 101
Northport
, New York 11768-3900
(631) 427-3001
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About
Features
Specialties
- Nurse Practitioner - Pediatrics
Languages spoken
- English
Location
First Address
- Jennifer Anne Zethner
- 112 Adams St
- Centerport, NY
- Zip : 11721-1036
- Phone : (631) 427-3001
Second Address
- Jennifer Anne Zethner
- 220 Fort Salonga Rd Suite 101
- Northport, NY
- Zip : 11768-3900
- Fax : (631) 754-2909
- Phone : (631) 262-8505
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LP0200X | Nurse Practitioner - Pediatrics | F381350-1 | NY |
National Provider Identifier
| NPI | 1003115528 |
|---|---|
| Provider Name | Jennifer Anne Zethner |
| First Address | Centerport, NY 11721-1036 |
| Second Address | Northport, NY 11768-3900 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 23/03/2011 |
| Last Update Date | 23/03/2011 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.