Individual ProviderNaulie JeanRegistered NurseNursing Service ProvidersPractice Address2054 Tillotson Ave, Bronx, NY 10475-1560(718) 671-2100PECOS EnrollmentBased on the most recent information from CMS, provider Naulie Jean does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 9:43 AM.Profile DetailsProvider ID1114266640Provider TypeIndividualFull NameJean, NaulieGenderFemaleSole ProprietorYesEnumeration Date2/4/2013Last Updated2/4/2013Contact InformationPractice LocationPractice Address2054 Tillotson Ave, Bronx, NY 10475-1560Phone(718) 671-2100FaxUnlisted FaxMailing LocationMailing Address2054 Tillotson Ave, Bronx, NY 10475-1560Phone(718) 671-2100FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode163W00000XPrimaryDescriptionRegistered NurseNursing Service ProvidersLicense306885New York