Provider Demographics
NPI:1386638872
Name:GREENFIELD, JEANNE A (RN, MS ,CPNP)
Entity Type:Individual
Prefix:MRS
First Name:JEANNE
Middle Name:A
Last Name:GREENFIELD
Suffix:
Gender:F
Credentials:RN, MS ,CPNP
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Mailing Address - Street 1:2 PREMIER CT
Mailing Address - Street 2:
Mailing Address - City:NESCONSET
Mailing Address - State:NY
Mailing Address - Zip Code:11767-1075
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:NICHOLS ROAD
Practice Address - Street 2:
Practice Address - City:STONY BROOK
Practice Address - State:NY
Practice Address - Zip Code:11794-0001
Practice Address - Country:US
Practice Address - Phone:631-444-7720
Practice Address - Fax:631-444-7865
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-09-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NYF380982163WP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0200XNursing Service ProvidersRegistered NursePediatrics