Colletta Latoya Jerrick
NURSE PRACTITIONER | Nurse Practitioner - Psych/Mental Health
1548 E Forks Rd, Bay Shore
New York, 11706-3144
631-308-7658
May or may not accept Medicare Nurse Anesthetist in Bay Shore, New York.Colletta Latoya Jerrick is a Bay Shore, New York based nurse practitioner who is specialized as Psych/Mental Health nurse. Active license number of Colletta Latoya Jerrick is F403813-01 for Psych/Mental Health in New York. Her current practice location is 1548 E Forks Rd, Bay Shore. Patients can reach her at 631-308-7658. Colletta Latoya Jerrick is NURSE PRACTITIONER with specialization in Psych/Mental Health and her NPI number (Unique professional ID assigned by NPPES) is 1922720887.
Colletta Latoya Jerrick provides a full range of primary mental health care services, including biopsychosocial assessment and diagnosis of patients with mental illness and co-occurring disorders. Treatment modalities include both medication and psychotherapeutic management. Psych/Mental Health Nurse Practitioner (PMHNP) works in a variety of settings, including inpatient, emergency and community-based mental health services.
Complete Profile:
Colletta Latoya Jerrick speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Colletta Latoya Jerrick |
| Specialization: | Psych/Mental Health Nurse Practitioner (PMHNP) |
| Gender: | Female |
| Credentials: | NURSE PRACTITIONER |
| Practice Address: | 1548 E Forks Rd, Bay Shore, New York, 11706-3144 |
| Phone: | 631-308-7658 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1922720887 |
| NPI Enumeration Date: | 16 Sep, 2022 |
| NPI Last Update On: | 16 Sep, 2022 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Colletta Latoya Jerrick are as mentioned below.
| License Number | Specialization | State | Status | |
| F403813-01 | Psych/Mental Health | New York | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Colletta Latoya Jerrick such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| F403813-01 | Other | New York | NEW YORK STATE OFFICE OF THE PROFESSIONS |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Colletta Latoya Jerrick 1548 E Forks Rd, Bay Shore, New York |
| Zip: | 11706-3144 |
| Phone Number: | 631-308-7658 |
Patients can reach Colletta Latoya Jerrick at
1548 E Forks Rd, Bay Shore, New York or can
call to book an appointment on 631-308-7658.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.