Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Pediatric Nurse Practitioner, PLLC

Organization Pediatric Nurse Practitioner · NPI 1144993080

Pediatric Nurse Practitioner, PLLC is a Pediatric Nurse Practitioner in Merrick, New York. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2944 Holiday Park Dr
Merrick, NY 11566-4825
Phone: (646) 784-6449
Fax: (516) 809-9855
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Nurse Practitioner (primary) Taxonomy 363LP0200X

Record details

NPI number1144993080
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Joy Stennett — Cpnp · (646) 784-6449
NPI enumeratedJuly 27, 2021
Last updated in NPPESJuly 27, 2021
Certification dateJuly 27, 2021
Mailing address2944 Holiday Park Dr, Merrick, NY 11566-4825

Other providers in Merrick