KISHA JEGEDE-GABBIDON FNP-BC NPI 1760959530

NPI Information

NPI: 1760959530
Provider Name: KISHA JEGEDE-GABBIDON, FNP-BC
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
11208 SPRINGFIELD BLVD
QUEENS VILLAGE, NY
ZIP 11429
Phone: (929) 430-3811
Get Directions

Kisha Jegede-gabbidon, FNP-BC is a family nurse practitioner in Queens Village, NY with 11 years of experience. Kisha Jegede-gabbidon, FNP-BC NPI is 1760959530. 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:

11208 SPRINGFIELD BLVD
QUEENS VILLAGE, NY
ZIP 11429-650
Phone: (929) 430-3811

The NPI 1760959530 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/30/2018 and was last updated on 9/16/2022.

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
1	363LF0000X	Nurse Practitioner	Family	F338617-1	NEW YORK	Yes

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: 5/5/2024

NPI Synchronization or Removal

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