Individual
MISS JESSICA M ABREU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
11 TERRACE CIR, APARTMENT 1D, GREAT NECK, NY 11021-4169
(347) 421-3801
Mailing address
11 TERRACE CIR, APARTMENT 1D, GREAT NECK, NY 11021-4169
(347) 421-3801
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
640322
NY
163W00000X
Registered Nurse
95184980
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
405400
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95028184
CA
Other
Enumeration date
04/24/2011
Last updated
11/29/2023
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