| Doctor Name: | MS. JAYNE FANTA BETTS |
| NPI Number: | 1427023209 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP |
| License Number: | F330622 |
| Business Practice Address: | 375 White Plains Rd. Minute Clinic Of New York Inside Cvs Pharmacy Eastchester, NY - 10707 |
| Business Phone Number: | 9143375300 |
| Business Fax Number: | |
| Mailing Address: | 124 Neptune Ave, NEW ROCHELLE |
| State: | NY |
| Postal Code: | 108051404 |
| Phone Number: | 9145761190 |
| Fax Number: | |
| NPI Enumeration Date: | 02/23/2006 |
| NPI Last Update Date: | 02/03/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | F330622 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |