IndividualActive
Charlene Harris
NPI 1740149434 · Gerontology Nurse Practitioner · Jamaica, NY
Provider details
- NPI number
- 1740149434
- Entity type
- Individual
- Primary specialty
- Gerontology Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 312681 (NY)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
14520 176th St
Jamaica, NY 11434-4916
Phone: (347) 841-4164
Approximate (ZIP-level) locationGet directions
Mailing address
14520 176th St
Jamaica, NY 11434-4916
Registry dates
- Enumerated
- 2026-01-19
- Last updated
- 2026-01-19
- Certified
- 2026-01-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.