Jeanne Couture, NP

Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · East Greenbush, NY

NPI 1235544743 · NPPES record last updated Jun 23, 2014

Key facts

NPI
1235544743
Entity type
Individual (NPI type 1)
Primary specialty
Psychiatric/Mental Health Nurse Practitioner 363LP0808X
License
F401347-1 (NY)
Practice address
54 Gilligan Rd
East Greenbush, NY 12061-1730
Phone
(518) 281-5769
NPI assigned
Jun 23, 2014
Sex
Female
Sole proprietor
Yes

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F401347-1NYMDPsychiatric/Mental Health Nurse Practitioner

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X F401347-1 NY Yes

Addresses

Primary practice location

54 Gilligan Rd
East Greenbush, NY 12061-1730

Mailing address

54 Gilligan Rd
East Greenbush, NY 12061-1730
Phone (518) 281-5769

Other providers in East Greenbush, NY

All providers in East Greenbush, NY · Psychiatric/Mental Health Nurse Practitioner in New York

Sources for this page

Verify at the official NPI Registry.