Colletta Latoya Jerrick, NURSEPRACTITIONER
Colletta Latoya Jerrick, NURSEPRACTITIONER is a Psychiatric/Mental Health Nurse Practitioner in Bay Shore, New York. Practices as a sole proprietor. Licensed in New York.
- Licensed in
- NY
- In the registry since
- 2022
Practice location Address checks out
1548 E Forks RdBay Shore, NY 11706-3144
Phone: (631) 308-7658
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Specialties & licences
| Psychiatric/Mental Health Nurse Practitioner (primary) | Taxonomy 363LP0808X · Licence F403813-01 (NY) |
|---|
Record details
| NPI number | 1922720887 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | NURSEPRACTITIONER |
| Sole proprietor | Yes |
| NPI enumerated | September 16, 2022 |
| Last updated in NPPES | September 16, 2022 |
| Certification date | September 15, 2022 |
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