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

Jetti Nainggolan Correa

Individual provider Registered Nurse · NPI 1386509487

Jetti Nainggolan Correa is a Registered Nurse in Brooklyn, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2025

Practice location Address checks out

2008 E 61st St
Brooklyn, NY 11234-5908
Phone: (646) 875-0704
Show map & directions

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

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence 491329 (NY)

Record details

NPI number1386509487
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedDecember 19, 2025
Last updated in NPPESDecember 19, 2025
Certification dateDecember 19, 2025

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