Individual
JESSICA FLOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
259 1ST ST, MINEOLA, NY 11501-3957
(516) 663-8312
Mailing address
163 MARCY ST, WEST BABYLON, NY 11704-3401
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
306180
NY
Other
Enumeration date
04/17/2013
Last updated
08/11/2022
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