Keisha Nadine Antoine-Jennings, RN
Individual provider Active NPI Registered Nurse · Mount Vernon, NY
NPI 1992140354 · NPPES record last updated Apr 30, 2013
Key facts
- NPI
- 1992140354
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 641502-1 (NY)
- Practice address
- 76 Esplanade
Mount Vernon, NY 10553-1112 - Phone
- (347) 495-9987
- NPI assigned
- Apr 30, 2013
- 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
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 641502-1 | NY | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 641502-1 | NY | Yes |
Addresses
Primary practice location
76 Esplanade
Mount Vernon, NY 10553-1112
Mailing address
76 Esplanade
Mount Vernon, NY 10553-1112
Phone (347) 495-9987
Other providers in Mount Vernon, NY
- Anastasia Marie Anderson
- Samantha Anderson
- Andora Physical Therapy Services
- Ann-Marie Mais Nurse Practitioner in Family Health PLLC
- Cynthia Anti II
- Nadia Shanna Antoine-Williams
- Andres Cruz Antonio
- Hannah N Antwi
- Nonyelu Iruoma Anyichie
- Daphne Aponte
All providers in Mount Vernon, NY · Registered Nurse 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 Apr 30, 2013. 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.