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

Elizabeth Jane Kenney, PNP

Individual provider Pediatric Nurse Practitioner · NPI 1649064411

Elizabeth Jane Kenney, PNP is a Pediatric Nurse Practitioner in Medford, New York. Licensed in New York. Registered with an NPI since 2025.

Licensed in
NY
In the registry since
2025
What do these letters mean?
PNP — Pediatric Nurse Practitioner
A nurse practitioner specialising in children.

See every abbreviation used in this directory →

Practice location Address checks out

2799 Route 112 Ste 7&11
Medford, NY 11763-2535
Phone: (631) 732-5222
Fax: (631) 732-6222
Show map & directions

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

Specialties & licences

Pediatric Nurse Practitioner (primary) Taxonomy 363LP0200X · Licence F383766-01 (NY)

Record details

NPI number1649064411
Entity typeIndividual (Type 1)
GenderFemale
Credentials PNP
Sole proprietorNo
NPI enumeratedApril 7, 2025
Last updated in NPPESApril 7, 2025
Certification dateApril 7, 2025

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