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

Kerryann Melissa Penny, NURSEPRACTITIONER

Individual provider Registered Nurse · NPI 1881978260

Kerryann Melissa Penny, NURSEPRACTITIONER is a Nurse Practitioner in Jamaica, New York. Qualified in 2022, 4 years ago. Practices with Jewish Board of Family and Childrens Services Inc, a 127-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
4
Licensed in
NY
In the registry since
2011
Specialties on file
2
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Practice location Address checks out

16318 Jamaica Ave
Jamaica, NY 11432-4919
Phone: (347) 307-5857
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 404360 (NY)
Registered Nurse Taxonomy 163W00000X · Licence 646650 (NY)

Record details

NPI number1881978260
Entity typeIndividual (Type 1)
GenderFemale
Credentials NURSEPRACTITIONER
Sole proprietorYes
NPI enumeratedOctober 4, 2011
Last updated in NPPESAugust 15, 2022
Certification dateAugust 15, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Jewish Board Of Family And Childrens Services Inc — 127 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Jamaica