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JEANNIE BERNARD, NURSE PRACTITIONER IN FAMILY HEALTH, P.C.

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Company Details

Name: JEANNIE BERNARD, NURSE PRACTITIONER IN FAMILY HEALTH, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 21 May 2022 (3 years ago)
Entity Number: 6491511
ZIP code: 11565
County: Nassau
Place of Formation: New York
Address: 169 wright avenue, MALVERNE, NY, United States, 11565

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
the corporation DOS Process Agent 169 wright avenue, MALVERNE, NY, United States, 11565

National Provider Identifier

NPI Number:
1578299038
Certification Date:
2024-03-22

Authorized Person:

Name:
MRS. JEANNIE BERNARD
Role:
OWNER/PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
363LF0000X - Family Nurse Practitioner
Is Primary:
Yes

Contacts:

Filings

Filing Number Date Filed Type Effective Date
220523000047 2022-05-21 CERTIFICATE OF INCORPORATION 2022-05-21

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Date of last update: 21 Mar 2025

Sources: New York Secretary of State