Provider Demographics
NPI:1285075143
Name:BELFRY, JENNIFER Q (FNP)
Entity type:Individual
Prefix:DR
First Name:JENNIFER
Middle Name:Q
Last Name:BELFRY
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:JENNIFER
Other - Middle Name:Q
Other - Last Name:FISHER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FNP
Mailing Address - Street 1:2340 MIDDLE RD
Mailing Address - Street 2:
Mailing Address - City:EAST GREENWICH
Mailing Address - State:RI
Mailing Address - Zip Code:02818-1135
Mailing Address - Country:US
Mailing Address - Phone:914-844-8174
Mailing Address - Fax:404-585-2688
Practice Address - Street 1:2340 MIDDLE RD
Practice Address - Street 2:
Practice Address - City:EAST GREENWICH
Practice Address - State:RI
Practice Address - Zip Code:02818-1135
Practice Address - Country:US
Practice Address - Phone:914-844-8174
Practice Address - Fax:404-585-2688
Is Sole Proprietor?:No
Enumeration Date:2013-07-08
Last Update Date:2023-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY657122-1163W00000X
NY338519363LF0000X
KS53-82031-072363LF0000X
MDR259537363LF0000X
MN10667363LF0000X
DCNP500007696363LF0000X
MO2022035230363LF0000X
DELG-0012257363LF0000X
CT11556363LF0000X
RIAPRN01582363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse