Nancy Lynn Jardine, NNP

Primary specialty

Neonatal Intensive Care Registered NurseTaxonomy code 163WN0002X

License

F350214-1 Issued in NY

Practice address

33-57 Harrison St
Johnson City, NY 13790-2107

Phone

(315) 470-7009

Fax

(315) 470-2923

NPI assigned

May 21, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1396953311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 540",
            "address_2": "33-57 HARRISON STREET",
            "city": "JOHNSON CITY",
            "state": "NY",
            "postal_code": "137900540",
            "telephone_number": "315-470-7009",
            "fax_number": "315-470-2923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33-57 HARRISON ST",
            "city": "JOHNSON CITY",
            "state": "NY",
            "postal_code": "137902107",
            "telephone_number": "315-470-7009",
            "fax_number": "315-470-2923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JARDINE",
        "first_name": "NANCY",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "NNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WN0002X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Neonatal Intensive Care",
            "state": "NY",
            "license": "F350214-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "F350214-1",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Garland Conway Jackson Jr., M.D.
• Parvez Jafri, M.D.
• Anaba Ali Jajja, MD
• Mohammad Mahbub Jamil, MD
• Alyssa Janes, MSOTR/L
• Abdul Muqeet Javed, MD
• Ali Javed, MD
• Mumtaz Javed, MD
• Shamaelah Javed
• Nilima Vijay Jawale, MD

• Neonatal Intensive Care Registered Nurse in Johnson City, NY
• Providers in Johnson City, NY by specialty
• Neonatal Intensive Care Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.