JOHNINE MELINDA SUMPTER


Address: 549 Decatur St, Brooklyn, NY 11233-1301
Phone: 7185418885

JOHNINE MELINDA SUMPTER (NPI# 1073077012) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1073077012
Entity Type Individual
Full Name JOHNINE MELINDA SUMPTER
Credential FNP
Practice Address 549 Decatur St
Brooklyn
NY 11233-1301
Practice Telephone 7185418885
Mailing Telephone 7184552377
Enumeration Date 2019-01-23
Last Update Date 2019-01-23
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
F343763-1 NY Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 549 DECATUR ST
City BROOKLYN
State NY
Zip Code 11233-1301

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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

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Competitor

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City BROOKLYN
Zip Code 11233

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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