JEANINE MICHELLE CARNIVAL MS RN AGNP-C CCRN NPI 1033764006

NPI Information

  • NPI: 1033764006
  • Provider Name: JEANINE MICHELLE CARNIVAL, MS, RN, AGNP-C, CCRN
  • Classification: Nurse Practitioner - 363LA2200X
  • Specialization: Adult Health
  • Entity Type: Individual
  • Address: 101 NICHOLLS ROAD STONY BROOK HOSPITA
    STONY BROOK, NY
    ZIP 11794
  • Phone: (631) 444-1665

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NPI Details

Jeanine Michelle Carnival, MS, RN, AGNP-C, CCRN is an adult health nurse practitioner in Stony Brook, NY. Jeanine Michelle Carnival, MS, RN, AGNP-C, CCRN NPI is 1033764006. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

101 NICHOLLS ROAD STONY BROOK HOSPITA
STONY BROOK, NY
ZIP 11794-001
Phone: (631) 444-1665

The enumeration date for this NPI number is 8/7/2019 and was last updated on 8/7/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LA2200XNurse PractitionerAdult HealthF308885NEW YORKYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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