Provider Demographics
NPI:1407875974
Name:VALENTINE-CHASE, JEANNE (NP)
Entity Type:Individual
Prefix:MS
First Name:JEANNE
Middle Name:
Last Name:VALENTINE-CHASE
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:560 CARPENTER HILL RD
Mailing Address - Street 2:
Mailing Address - City:PINE PLAINS
Mailing Address - State:NY
Mailing Address - Zip Code:12567-4840
Mailing Address - Country:US
Mailing Address - Phone:518-398-5247
Mailing Address - Fax:
Practice Address - Street 1:166 ALBANY AVE
Practice Address - Street 2:
Practice Address - City:KINGSTON
Practice Address - State:NY
Practice Address - Zip Code:12401-2530
Practice Address - Country:US
Practice Address - Phone:845-338-5575
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF330340-1363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily