Provider Demographics
NPI:1841906138
Name:VINCENT, KRRYNNE APPRILLE (FNP-BC)
Entity type:Individual
Prefix:MRS
First Name:KRRYNNE
Middle Name:APPRILLE
Last Name:VINCENT
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:MISS
Other - First Name:KRRYNNE
Other - Middle Name:APPRILLE
Other - Last Name:TROMBLEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:52 TOM MILLER RD
Mailing Address - Street 2:
Mailing Address - City:PLATTSBURGH
Mailing Address - State:NY
Mailing Address - Zip Code:12901-1252
Mailing Address - Country:US
Mailing Address - Phone:518-324-4000
Mailing Address - Fax:518-324-4001
Practice Address - Street 1:52 TOM MILLER ROAD
Practice Address - Street 2:
Practice Address - City:PLATTSBURGH
Practice Address - State:NY
Practice Address - Zip Code:12901
Practice Address - Country:US
Practice Address - Phone:518-324-4000
Practice Address - Fax:518-324-4001
Is Sole Proprietor?:No
Enumeration Date:2023-01-30
Last Update Date:2023-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF351069363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner