COLLETTA LATOYA JERRICK NURSE PRACTITIONER
NPI 1922720887
Nurse Practitioner - Psychiatric/Mental Health in Bay Shore, NY

Active since September 16, 2022
1548 E FORKS RD, BAY SHORE, NY 11706(631) 308-7658 Get Directions Write a Review

NPPES record last updated: September 16, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Individual
  • Female
  • Nurse Practitioner
  • Psychiatric/Mental Health

About COLLETTA JERRICK

This page provides the complete NPI Profile along with additional information for Colletta Jerrick, a provider established in Bay Shore, New York with a medical specialization in Nurse Practitioner, focusing in psychiatric/mental health . The healthcare provider is registered in the NPI registry with number 1922720887 assigned on September 2022. The practitioner's primary taxonomy code is 363LP0808X with license number F403813-01 (NY). The provider is registered as an individual and her NPI record was last updated 4 years ago.

NPI
1922720887 Verify this NPI
Provider Name
COLLETTA LATOYA JERRICK NURSE PRACTITIONER
Gender
Female
Entity Type
Individual
Location Address
1548 E FORKS RD BAY SHORE, NY 11706
Location Phone
(631) 308-7658
Mailing Address
1548 E FORKS RD BAY SHORE, NY 11706
Mailing Phone
(631) 308-7658
Is Sole Proprietor?
Yes
Enumeration Date
09-16-2022
Last Update Date
09-16-2022
Code Navigator

A nurse practitioner (NP) like Colletta Jerrick is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Practitioner Psychiatric/Mental Health

Taxonomy Code
363LP0808X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
F403813-01
License State
NY

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
F403813-01OTHER (01)NYNEW YORK STATE OFFICE OF THE PROFESSIONS

Reviews for COLLETTA LATOYA JERRICK NURSE PRACTITIONER

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1922720887, enumerated as an "individual" on September 16, 2022.

The provider is located at 1548 E FORKS RD BAY SHORE, NY 11706 and the phone number is (631) 308-7658.

Nurse Practitioner with taxonomy code 363LP0808X and a focus in Psychiatric/Mental Health.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.