Tijuana Temple, FNP
Tijuana Temple, FNP is a Nurse Practitioner in Coram, New York. Qualified in 2021, 5 years ago. Practices with Positive Change Psychiatry PLLC, a 6-clinician group and offers telehealth. Licensed in New York.
- Years since qualifying
- 5
- Licensed in
- NY
- In the registry since
- 2021
What do these letters mean?
- FNP — Family Nurse Practitioner
- A nurse practitioner who treats patients of all ages, much like a family doctor.
Practice location Address checks out
65 Pennaquid RdCoram, NY 11727-1227
Phone: (631) 605-1783
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Nurse Practitioner (primary) | Taxonomy 363LF0000X · Licence 348067 (NY) |
|---|
Record details
| NPI number | 1881369486 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | FNP |
| Sole proprietor | No |
| NPI enumerated | August 16, 2021 |
| Last updated in NPPES | August 16, 2021 |
| Certification date | July 27, 2021 |
| Mailing address | 65 Pennaquid Rd, Coram, NY 11727-1227 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2021 (5 years in practice) |
| Group practice | Positive Change Psychiatry Pllc — 6 clinicians |
| Accepts Medicare assignment | Not indicated |
| Telehealth | Offers telehealth services |
| Practice locations | 5 on file with Medicare |
Other providers in Coram
-
Nicole Silvestre
266 Middle Country Rd, Coram, NY 11727-4425 · (631) 698-1111
-
David Spera
266 Middle Country Rd, Coram, NY 11727-4425 · (631) 698-1111