Individual
JESSICA LI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2 MOTT ST RM 204, NEW YORK, NY 10013-5003
(212) 226-6002
Mailing address
2 MOTT ST RM 204, NEW YORK, NY 10013-5003
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
F383114-01
NY
Other
Enumeration date
08/04/2020
Last updated
08/24/2021
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