Provider Demographics
NPI:1710328208
Name:HARRIGAN, JAHUMI (FNP)
Entity Type:Individual
Prefix:
First Name:JAHUMI
Middle Name:
Last Name:HARRIGAN
Suffix:
Gender:M
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3215 AVENUE H STE 1P
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11210-3217
Mailing Address - Country:US
Mailing Address - Phone:718-717-2278
Mailing Address - Fax:
Practice Address - Street 1:3215 AVENUE H STE 1P
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11210-3217
Practice Address - Country:US
Practice Address - Phone:718-717-2278
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-07-11
Last Update Date:2024-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY348789363LF0000X
NY662417163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily