Individual
MISS JESSICA LYNNE MOLLARD-ZIMMERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
550 1ST AVE, NEW YORK, NY 10016-6402
(212) 263-5788
Mailing address
12 HILLOCK CT, GLENVILLE, NY 12302-3735
(518) 399-4368
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
587019
NY
Other
Enumeration date
08/22/2010
Last updated
08/17/2022
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