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Colletta Jerrick, NURSE PRACTITIONER
NPI 1922720887 · on the registry since 2022 · sole proprietor
Practice
- Address
- 1548 E Forks Rd
Bay Shore, NY 11706 - Phone
- (631) 308-7658
Registry record
- Primary taxonomy
- Psychiatric/Mental Health Nurse Practitioner
363LP0808X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-09-16
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York