Hometown Healthcare Port Jervis Family Health Nurse Practitioner Pllc
NPI #1477399871 in Port Jervis, New York
Provider Information
- NPI Number
- 1477399871
- Entity Type
- Organization
- Organization Name
- Hometown Healthcare Port Jervis Family Health Nurse Practitioner Pllc
- Primary Specialty
- Nurse Practitioner - Family
- Enumeration Date
- Jul 4, 2024
- Last Updated
- Nov 19, 2024
Practice Location
- Address
- 32 BALL ST
- City
- Port Jervis
- State
- New York
- ZIP Code
- 12771-2404
- Phone
- (845) 204-8204
Authorized Official
- Name
- ROSELLE AGUILA LITTLE, FNP-C
- Title
- MANAGING DIRECTOR
- Phone
- (845) 204-8204
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
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