Florence L Jerdan, RN, PHD

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

F301665 Issued in NY

Practice address

100 Woodland Pond Cir Apt 243
New Paltz, NY 12561-6409

Phone

(845) 419-2589

NPI assigned

Oct 30, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy, Registered Nurse

State licenses

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

{
    "created_epoch": "1509321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1509321600000",
    "number": "1982116042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 WOODLAND POND CIR APT 243",
            "city": "NEW PALTZ",
            "state": "NY",
            "postal_code": "125616409",
            "telephone_number": "845-419-2589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 WOODLAND POND CIR APT 243",
            "city": "NEW PALTZ",
            "state": "NY",
            "postal_code": "125616409",
            "telephone_number": "845-419-2589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JERDAN",
        "first_name": "FLORENCE",
        "middle_name": "L",
        "credential": "RN, PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-10-30",
        "last_updated": "2017-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "F301665",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Adult Health Nurse Practitioner in New Paltz, NY
• Providers in New Paltz, NY by specialty
• Adult Health Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2017; 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.