Provider Demographics
NPI:1407381346
Name:CHRISTOPHE, JENNIFER (DNP, FNP-BC)
Entity type:Individual
Prefix:DR
First Name:JENNIFER
Middle Name:
Last Name:CHRISTOPHE
Suffix:
Gender:
Credentials:DNP, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7 COATES DRIVE
Mailing Address - Street 2:SUITE 4
Mailing Address - City:GOSHEN
Mailing Address - State:NY
Mailing Address - Zip Code:10924-6748
Mailing Address - Country:US
Mailing Address - Phone:845-280-0608
Mailing Address - Fax:845-280-0609
Practice Address - Street 1:7 COATES DRIVE
Practice Address - Street 2:SUITE 4
Practice Address - City:GOSHEN
Practice Address - State:NY
Practice Address - Zip Code:10924-6748
Practice Address - Country:US
Practice Address - Phone:845-280-0608
Practice Address - Fax:845-280-0609
Is Sole Proprietor?:Yes
Enumeration Date:2017-04-28
Last Update Date:2025-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF340224363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY05458397Medicaid