Jheanelle A Atkinson

Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Southampton, NY

NPI 1063201945 · NPPES record last updated Apr 6, 2026

Key facts

NPI
1063201945
Entity type
Individual (NPI type 1)
Primary specialty
Student in an Organized Health Care Education/Training Program 390200000X
Practice address
240 Meeting House LN
Southampton, NY 11968-5009
Phone
(631) 723-6141
NPI assigned
May 6, 2025
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Yes

Addresses

Primary practice location

240 Meeting House LN
Southampton, NY 11968-5009

Mailing address

240 Meeting House LN
Southampton, NY 11968-5009
Phone (631) 726-0409

Other providers in Southampton, NY

All providers in Southampton, NY · Student in an Organized Health Care Education/Training Program in New York

Sources for this page

Verify at the official NPI Registry.