Provider Demographics
NPI:1144938366
Name:ECHEVERRY, JASMEN LINEYDA (FNP)
Entity type:Individual
Prefix:MRS
First Name:JASMEN
Middle Name:LINEYDA
Last Name:ECHEVERRY
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2048 SUNRISE HIGHWAY
Mailing Address - Street 2:
Mailing Address - City:BAYSHORE
Mailing Address - State:NY
Mailing Address - Zip Code:11706
Mailing Address - Country:US
Mailing Address - Phone:319-686-7466
Mailing Address - Fax:
Practice Address - Street 1:1283 YORK AVE
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10065
Practice Address - Country:US
Practice Address - Phone:646-697-0604
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-11-07
Last Update Date:2025-05-28
Deactivation Date:2025-04-17
Deactivation Code:
Reactivation Date:2025-05-07
Provider Licenses
StateLicense IDTaxonomies
NYF354400363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily