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Individual
JESSICA HOUCK
Active
Individual
JESSICA HOUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
339754
NY
363LF0000X
Family Nurse Practitioner
Primary
339754
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04238455
—
NY
Enumeration date
07/29/2015
Last updated
06/13/2016
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