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Individual
JESSYCA JEAN
Active
Individual
JESSYCA JEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
781798
NY
164W00000X
Licensed Practical Nurse
3271071
NY
363LF0000X
Family Nurse Practitioner
Primary
358900
NY
Other
Enumeration date
09/21/2018
Last updated
08/19/2026
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