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Jenna-Rose Haley

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

100 Woods Rd Fl 1, Valhalla, NY 10595-1530

PECOS Enrollment

This provider is enrolled in PECOS as JENNA ROSE HALEY.

Based on the most recent information from CMS, provider Jenna-Rose Haley is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records today at 1:00 PM.

Profile Details

Provider ID
1649889049
Provider Type
Individual
Full Name
Haley, Jenna-Rose
Credential
FNP-BC

Gender
Female
Sole Proprietor
Yes
Enumeration Date
7/31/2020
Last Updated
10/20/2022

Contact Information

Practice Location

100 Woods Rd Fl 1, Valhalla, NY 10595-1530

(914) 909-6900

(914) 493-2828

Mailing Location

100 Woods Rd Fl 1, Valhalla, NY 10595-1530

(914) 909-6900

(914) 493-2828

Provider Taxonomies

Code	Description	License
Code 363LF0000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License 348431 New York
Code 163W00000X	Description Registered Nurse Nursing Service Providers	License 142421 Connecticut

Jenna-Rose Haley

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Mcguire, Claire

Sulemana, Deborah

Diercksen, Rosemarie E

Wong, Mary Lynn

Boland, Karlene Natasha

Sebastian, Demy Ann

Sheehy, Ann Patricia

Beyer, Linda

Wynne, Mary G

Hur, Suhaeng