Doctor Name: | JEANNE COUTURE |
NPI Number: | 1235544743 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP |
License Number: | F401347-1 |
Business Practice Address: | 54 Gilligan Rd East Greenbush, NY - 120611730 |
Business Phone Number: | 5182815769 |
Business Fax Number: | |
Mailing Address: | 54 Gilligan Rd, EAST GREENBUSH |
State: | NY |
Postal Code: | 120611730 |
Phone Number: | 5182815769 |
Fax Number: | |
NPI Enumeration Date: | 06/23/2014 |
NPI Last Update Date: | 06/23/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP0808X |
License Number: | F401347-1 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Psych/Mental Health |
Taxonomy Definition: |