Funmi O Allison
Individual provider Active NPI Nurse Practitioner · Jamaica, NY
NPI 1235701384 · NPPES record last updated Jul 16, 2021
Key facts
- NPI
- 1235701384
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- F310054-01 (NY)
- Practice address
- 17232 128TH Ave
Jamaica, NY 11434-3324 - Phone
- (917) 783-8524
- NPI assigned
- Jul 16, 2021
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F310054-01 | NY | MD | Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | F310054-01 | NY | Yes |
Addresses
Primary practice location
17232 128TH Ave
Jamaica, NY 11434-3324
Mailing address
17232 128TH Ave
Jamaica, NY 11434-3324
Phone (917) 783-8524
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | funmi3@verizon.net | Health Information Exchange (HIE) |
Other providers in Jamaica, NY
- Akilah Alleyne
- Julien Alleyne
- Nazalene Alli
- Alliance Pharmacy Inc
- Allied Care PT PC
- Jocelyne Allrich
- Nusaiba Ally
- Trisha Ally
- Laura Karolina Almeida
- Jane Adigue Almero
All providers in Jamaica, NY · Nurse Practitioner in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 16, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.