Individual ProviderJennifer Anne BatesNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address95 Bradhurst Ave, Valhalla, NY 10595-1637(914) 592-7555PECOS EnrollmentBased on the most recent information from CMS, provider Jennifer Anne Bates 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 3 days ago.Profile DetailsProvider ID1134351927Provider TypeIndividualFull NameBates, Jennifer AnneCredentialFNP-BCGenderFemaleSole ProprietorNoEnumeration Date8/13/2009Last Updated8/30/2019Contact InformationPractice LocationPractice Address95 Bradhurst Ave, Valhalla, NY 10595-1637Phone(914) 592-7555Fax(866) 310-5326Mailing LocationMailing Address95 Bradhurst Ave, Valhalla, NY 10595-1637Phone(914) 592-7555Fax(866) 310-5326Provider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense335889New YorkCode363LF0000XDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense4133Connecticut